| Doctor Name: | DR. JACOB JOSEPH PARKER |
| NPI Number: | 1093788770 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G8697 |
| Business Practice Address: | 1100 N Kentucky Ave West Plains, MO - 657752029 |
| Business Phone Number: | 8882759737 |
| Business Fax Number: | 3146314672 |
| Mailing Address: | 333 Locust Ave, SAN RAFAEL |
| State: | CA |
| Postal Code: | 949012242 |
| Phone Number: | 4157210296 |
| Fax Number: | 4157210298 |
| NPI Enumeration Date: | 02/11/2006 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | G8697 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |