MEDICARE: DR. GIBBE HULL 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	G17728	CA
2	207RP1001X	Pulmonary Disease Physician	G17728	CA

General Provider Information

NPI Number	:	1932103520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIBBE HULL PARSONS MD

Provider Business Mailing Address
First Line	:	2300 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2202
Country	:	US
Telephone Number	:	916-734-2777
Fax Number	:	916-734-3234

Provider Business Practice Location Address
First Line	:	2300 STOCKTON BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2202
Country	:	US
Telephone Number	:	916-734-2777
Fax Number	:	916-734-3234

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	10/04/2011

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