Basic Information
| Provider Information | |||||||||
| NPI: | 1669461836 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARSA | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | B. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 340 HULSE RD | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325081089 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504522257 | ||||||||
| FaxNumber: | 8504522708 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 HULSE RD | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325081089 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504522257 | ||||||||
| FaxNumber: | 8504522708 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS8411 | FL | X | Allopathic & Osteopathic Physicians | Family Medicine | 2083A0100X | OS8411 | FL | X | Allopathic & Osteopathic Physicians | Preventive Medicine | Aerospace Medicine | 207Q00000X | R2G09 | MO | X | Allopathic & Osteopathic Physicians | Family Medicine | 2083A0100X | R2G09 | MO | X | Allopathic & Osteopathic Physicians | Preventive Medicine | Aerospace Medicine |
No ID Information.