Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G67987 | CA |
NPI | 1083771646 |
---|---|
Provider Name | Dr. Julie Parsonnet |
First Address | Woodside, CA 94062-4545 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 01/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G679870 | (05) | CA |
010054789 | RAILROAD MEDICARE (01) | CA |
F01292 | (02) |