Individual
DAVID Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 9TH ST, FLORENCE, OR 97439-9470
(541) 902-6140
(541) 902-7533
Mailing address
330 9TH ST, FLORENCE, OR 97439-9470
(541) 997-2820
(541) 997-7197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD25431
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD25431
STATE LICENSE
OR
Enumeration date
05/06/2006
Last updated
12/16/2009
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