Provider Demographics
NPI:1134451156
Name:PARRILL, MARJORY RUTH (MT(ASCP))
Entity type:Individual
Prefix:
First Name:MARJORY
Middle Name:RUTH
Last Name:PARRILL
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:MARGE
Other - Middle Name:
Other - Last Name:PARRILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MT(ASCP)
Mailing Address - Street 1:29 BLACK COAL ROAD
Mailing Address - Street 2:P.O. BOX 128
Mailing Address - City:FT. WASHAKIE
Mailing Address - State:WY
Mailing Address - Zip Code:82514
Mailing Address - Country:US
Mailing Address - Phone:307-332-7972
Mailing Address - Fax:
Practice Address - Street 1:29 BLACK COAL ROAD
Practice Address - Street 2:
Practice Address - City:FT. WASHAKIE
Practice Address - State:WY
Practice Address - Zip Code:82514
Practice Address - Country:US
Practice Address - Phone:307-332-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory