NPI 1396914917

Jason Oneal Parkinson, DO

Practitioner Obstetrics & Gynecology Physician Burley, ID

Practice location

Address: 1408 Pomerelle Ave Suite H, Burley, ID 83318-2067
Phone: (208) 677-6170
Mailing address: 8674b Volcano Loop, Mountain Home Afb, ID 83648-5008

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence O-0831 (ID)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1396914917
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2008
Record last updated: 1 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.