Individual
ANDREW PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2373 G RD STE 270, GRAND JUNCTION, CO 81505-1006
(970) 644-3800
(970) 644-3946
Mailing address
606 CHIPETA AVE APT 2, GRAND JUNCTION, CO 81501-2748
(808) 599-0563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008210
CO
Other
Enumeration date
06/14/2021
Last updated
12/04/2023
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