Individual
DR. JASON A PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 EXPOSITION BLVD BLDG 400 SUITE A, SACRAMENTO, CA 95815-4314
(916) 813-5557
Mailing address
1111 EXPOSITION BLVD BLDG 400 SUITE A, SACRAMENTO, CA 95815-4314
(916) 813-5557
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A62812
CA
Other
Enumeration date
12/01/2005
Last updated
11/03/2021
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