Individual
DR. DANIEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 485-2100
(702) 825-0091
Mailing address
377 TRAILING PUTT WAY, LAS VEGAS, NV 89148-5003
(951) 809-5908
(702) 947-5352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SL0537
NV
Other
Enumeration date
12/17/2007
Last updated
04/09/2021
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