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Individual

DR. DONALD W PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1101 E MISSOURI AVE, PHOENIX, AZ 85014-2709
(602) 222-2221
(602) 266-2044
Mailing address
PO BOX 32530, PHOENIX, AZ 85064-2530
(602) 265-2695
(602) 265-5077

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25318
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
384230
AZ
Enumeration date
08/11/2005
Last updated
07/08/2007
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