Individual
JAMES M. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A79414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A794140
—
CA
Enumeration date
11/03/2006
Last updated
08/06/2010
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