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Individual

DR. MYUNG HEE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1802 YAKIMA AVE STE 302, TACOMA, WA 98405-5305
(253) 627-1244
(253) 274-7993
Mailing address
1802 YAKIMA AVE STE 302, TACOMA, WA 98405-5305
(253) 627-1244
(253) 274-7993

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD60931616
WA
207RC0000X
Cardiovascular Disease Physician
D63218
MD
207RC0000X
Cardiovascular Disease Physician
MD60931616
WA
207RC0000X
Cardiovascular Disease Physician
Q4238
TX
207RI0011X
Interventional Cardiology Physician
D63218
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2130874
WA
05
349207601
TX
05
408288500
MD
01
647078-01
BLUE CROSS/BLUE SHIELD
MD
01
8FC783
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/06/2006
Last updated
12/08/2020
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