Individual
DR. JASON ONEAL PARKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1408 POMERELLE AVE, SUITE H, BURLEY, ID 83318-2067
(208) 677-6170
Mailing address
8674B VOLCANO LOOP, MOUNTAIN HOME AFB, ID 83648-5008
(570) 594-9514
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-0831
ID
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/28/2008
Last updated
10/01/2021
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