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Individual
PETER JU PARK
Active
Individual
PETER JU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
007281
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
007281
GA
Other
Enumeration date
02/26/2013
Last updated
11/05/2018
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