Individual
DR. HYO-JONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2648
(702) 822-2000
(702) 938-2237
Mailing address
2460 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2648
(702) 822-2000
(702) 938-2237
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5705
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002611
—
NV
01
—
080107302
RAILROAD MEDICARE
NV
05
—
179839
—
AZ
01
—
900001899
RAILROAD MEDICARE
AZ
Enumeration date
06/29/2005
Last updated
03/05/2013
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