Individual
DANIEL PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 HOLTON AVE, STE 102, YAKIMA, WA 98902-3254
(509) 895-0402
(509) 248-0733
Mailing address
PO BOX 2925, YAKIMA, WA 98907-2925
(509) 895-0402
(509) 248-0733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00044679
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8430340
—
WA
Enumeration date
08/13/2006
Last updated
10/02/2008
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