Individual
DR. SAMUEL S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-3455
Mailing address
PO BOX 4069, EVERETT, WA 98204-0007
(206) 543-2470
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61147982
WA
Other
Enumeration date
04/05/2017
Last updated
09/30/2021
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