Individual
DR. STANLEY S. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 CLINTON PLAZA DRIVE, KNOXVILLE, TN 37912-3830
(865) 688-7563
(865) 688-6252
Mailing address
5300 CLINTON PLAZA DRIVE, KNOXVILLE, TN 37912-3830
(865) 688-7563
(865) 688-6252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000013517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190065
—
TN
Enumeration date
12/22/2006
Last updated
03/12/2014
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