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Individual
JASON YOUNG PARK
Active
Individual
JASON YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D66835
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT181938
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N6561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418096800
—
MD
Enumeration date
01/02/2007
Last updated
02/11/2011
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