Individual
EDWARD PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, WALTER REED NATIONAL MILITARY MEDICAL CENTER, BETHESDA, MD 20889-0004
(301) 295-4455
Mailing address
8901 WISCONSIN AVE, WALTER REED NATIONAL MILITARY MEDICAL CENTER, BETHESDA, MD 20889-0004
(301) 295-4455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101258721
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101258721
VA
Other
Enumeration date
04/29/2014
Last updated
07/09/2024
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