Individual
DR. SAMUEL PARK III
Active
Individual
DR. SAMUEL PARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C1-0023852
DE
Other
Enumeration date
07/03/2016
Last updated
08/27/2020
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