Individual
CHARLES KEYU PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10099 RIDGEGATE PKWY STE 420, LONE TREE, CO 80124-5536
(303) 800-6463
(303) 500-6585
Mailing address
10099 RIDGEGATE PKWY STE 420, LONE TREE, CO 80124-5536
(303) 800-6463
(303) 500-6585
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CDRH42664
CO
2084P0802X
Addiction Psychiatry Physician
CDRH42664
CO
Other
Enumeration date
10/26/2006
Last updated
01/31/2024
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