Individual
DR. JE HYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9922
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
ME129540
FL
208600000X
Surgery Physician
Primary
35.148280.MIL
OH
208600000X
Surgery Physician
ME129540
FL
Other
Enumeration date
06/03/2015
Last updated
10/29/2024
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