Individual
JAE HYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
Mailing address
5281 N 99TH AVE STE 100, GLENDALE, AZ 85305-2209
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
59983
AZ
Other
Enumeration date
04/10/2015
Last updated
09/13/2024
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