Individual
JOHN Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 S WOODS MILL RD, STE 37W, CHESTERFIELD, MO 63017-3662
(314) 523-5300
(314) 434-3191
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 523-5300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
108562
MO
207YX0602X
Otolaryngic Allergy Physician
Primary
108562
MO
Other
Enumeration date
10/14/2005
Last updated
03/17/2025
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