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1831169598

NPI Code Detail

MEDICARE: LEE W PARSONS MD

MEDICARE: LEE W PARSONS MD

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	207V00000X	Obstetrics & Gynecology Physician	M5974	CA
2	207VG0400X	Gynecology Physician	M-5974	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010003851	OTHER	ID	REGENCE BLUE SHIELD OF ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	33092	OTHER	ID	BLUE CROSS OF ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831169598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE W PARSONS MD

Provider Business Mailing Address
First Line	:	PO BOX 191050
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83719-1050
Country	:	US
Telephone Number	:	208-955-6500
Fax Number	:	208-955-6501

Provider Business Practice Location Address
First Line	:	5601 W CHINDEN BLVD
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1463
Country	:	US
Telephone Number	:	208-809-2865
Fax Number	:	208-809-2866

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	04/25/2024

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Directions to “ LEE W PARSONS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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