# SEOUL ANESTHESIOLOGY CONSULTANT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346605052
- **Authorized official:** MR. NAM HOON PARK (ANESTHESIOLOGY)
- **Authorized official phone:** (908) 653-9399

## Contact information

- **Practice address:** 9901 LIBERTY VIEW RD, LAS VEGAS, NV 89148-5507
- **Practice address phone:** (908) 653-1283
- **Practice address fax:** (908) 653-9305
- **Mailing address:** DEPT 880003 P.O. BOX 29650, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (908) 653-1283
- **Mailing address fax:** (908) 653-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NV | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/22/2015