Individual
DR. DUK J. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 INDUSTRIAL DR, FESTUS, MO 63028-4133
(636) 937-9322
(636) 937-4590
Mailing address
PO BOX 39, FESTUS, MO 63028-0039
(636) 937-9322
(636) 937-4590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33158
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200393304
—
MO
Enumeration date
11/22/2005
Last updated
09/13/2011
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