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Individual
THOMAS PARK
Active
Individual
THOMAS PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015019699
MO
207R00000X
Internal Medicine Physician
Primary
ME136283
FL
208M00000X
Hospitalist Physician
M-2458
GU
208M00000X
Hospitalist Physician
MTL-2024-024
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000300
—
FL
Enumeration date
06/19/2015
Last updated
11/20/2024
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