Individual
DR. MOON SOO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 LANIHULI ST, HILO, HI 96720-4142
(808) 935-4814
(808) 935-2518
Mailing address
33 LANIHULI ST, HILO, HI 96720-4142
(808) 935-4814
(808) 935-2518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2093
HI
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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