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Individual
ANDREW PARK
Active
Individual
ANDREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60788616
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60788616
WA
Other
Enumeration date
06/18/2015
Last updated
12/05/2022
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