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Individual
DONALD PARK
Active
Individual
DONALD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A122092
CA
207R00000X
Internal Medicine Physician
P22031
MD
Other
Enumeration date
01/30/2008
Last updated
11/09/2021
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