Individual
ROY J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Mailing address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371-7590
(253) 848-3000
(253) 840-6514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA07382200
NJ
207W00000X
Ophthalmology Physician
Primary
MD00048909
WA
Other
Enumeration date
08/03/2005
Last updated
07/21/2017
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