Individual
AMY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # DESKA81, CLEVELAND, OH 44195-2927
(216) 444-6277
Mailing address
106 IRVING ST NW, SUITE 405 SOUTH, WASHINGTON, DC 20010-2927
(202) 877-6526
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
35.088057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2673156
—
OH
Enumeration date
08/03/2006
Last updated
08/31/2023
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