Individual
DR. WILLIAM ISAIAH PARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6144 AIRPORT BLVD, MOBILE, AL 36608-3143
(251) 476-5050
(251) 450-2770
Mailing address
PO BOX 86144, MOBILE, AL 36689-6144
(251) 476-5050
(251) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00007045
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079368
—
AL
05
—
00118992
—
MS
01
—
051079368
BCBS
AL
01
—
200018979
BCBS
MS
01
—
200028684
RAILROAD MEDICARE
AL
Enumeration date
05/01/2006
Last updated
01/20/2010
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