Provider Demographics
NPI:1588640247
Name:PARRISH, MARK DION (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:DION
Last Name:PARRISH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2516 STOCKTON BLVD
Mailing Address - Street 2:DEPT OF PEDIATRICS, ROOM 333
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2208
Mailing Address - Country:US
Mailing Address - Phone:916-734-4720
Mailing Address - Fax:916-734-0424
Practice Address - Street 1:2516 STOCKTON BLVD
Practice Address - Street 2:DEPT OF PEDIATRICS, ROOM 333
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2208
Practice Address - Country:US
Practice Address - Phone:916-734-4720
Practice Address - Fax:916-734-0424
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG0661682080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology