Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 174058-1 | NY |
Y | 207RP1001X | Pulmonary Disease | 174058-1 | NY |
NPI | 1073585899 |
---|---|
Provider Name | Dr. John Scott Parrish |
First Address | San Diego, CA 92131-2103 |
Second Address | San Diego, CA 92134-1098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 30/05/2012 |