Individual
DR. MICHELLE M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3410 N 4TH AVE, PHOENIX, AZ 85013-3905
(602) 241-1944
(602) 241-1917
Mailing address
22 JUNIPER LN, PORTSMOUTH, NH 03801-4792
(206) 376-5769
(602) 241-1917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29441
AZ
Other
Enumeration date
10/25/2005
Last updated
08/01/2024
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