Individual
DR. YOUN W PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 5TH ST SE, SUITE 4, BARBERTON, OH 44203-4255
(330) 753-9763
(330) 753-1086
Mailing address
105 5TH ST SE, SUITE 4, BARBERTON, OH 44203-4255
(330) 753-9763
(330) 753-1086
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35043203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398681
—
OH
01
—
791043208
MEDICARE RAILROAD PTAN
OH
Enumeration date
10/05/2005
Last updated
10/15/2012
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