Individual
LEE W PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 W CHINDEN BLVD, GARDEN CITY, ID 83714-1463
(208) 809-2865
(208) 809-2866
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M5974
CA
207VG0400X
Gynecology Physician
Primary
M-5974
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003851
REGENCE BLUE SHIELD OF ID
ID
05
—
003885000
—
ID
05
—
121074
—
OR
01
—
33092
BLUE CROSS OF ID
ID
Enumeration date
01/25/2006
Last updated
04/25/2024
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