Provider Demographics
NPI:1932103520
Name:PARSONS, GIBBE HULL (MD)
Entity Type:Individual
Prefix:DR
First Name:GIBBE
Middle Name:HULL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2202
Mailing Address - Country:US
Mailing Address - Phone:916-734-2777
Mailing Address - Fax:916-734-3234
Practice Address - Street 1:2300 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2202
Practice Address - Country:US
Practice Address - Phone:916-734-2777
Practice Address - Fax:916-734-3234
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17728207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40176Medicare UPIN