Individual
DR. KONG SURK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7023 LITTLE RIVER TPKE, SUITE 330, ANNANDALE, VA 22003-5939
(703) 354-8686
(703) 354-9004
Mailing address
7023 LITTLE RIVER TPKE, SUITE 330, ANNANDALE, VA 22003-5939
(703) 354-8686
(703) 354-9004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555976
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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