Individual
DR. JOHN PARSONS HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 CLEVELAND AVE, SANTA ROSA, CA 95401-4282
(707) 576-0818
(707) 576-7845
Mailing address
629 MONROE ST, SANTA ROSA, CA 95404-3927
(800) 709-0293
(707) 576-7845
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
G37140
CA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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