Individual
DR. YONGMOON ANDREW PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 S 3RD ST, DAYTON, WA 99328-1606
(509) 382-3200
(509) 382-2748
Mailing address
1012 S 3RD ST, DAYTON, WA 99328-1606
(509) 382-3200
(509) 382-2748
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD60173758
WA
207Q00000X
Family Medicine Physician
A48817
CA
Other
Enumeration date
08/14/2006
Last updated
12/31/2012
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