MEDICARE: JOHN EDWIN PARSONS JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G78940	CA

General Provider Information

NPI Number	:	1578620076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN EDWIN PARSONS JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX AD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95992-1396
Country	:	US
Telephone Number	:	530-751-3769
Fax Number	:	530-751-1237

Provider Business Practice Location Address
First Line	:	2800 LINCOLN BLVD
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5961
Country	:	US
Telephone Number	:	530-534-7500
Fax Number	:	530-534-0210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	09/18/2012

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