Individual
DR. JAMES K PARK
Active
Individual
DR. JAMES K PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101840533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101840533
STATE MEDICAL LICENSE
VA
01
—
D55608
STATE MEDICAL LICENSE
MD
01
—
MD32179
MEDICAL LICENSE NUMBER
DC
Enumeration date
01/21/2007
Last updated
02/14/2025
Update your record
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