Individual
PAUL BEOMSOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607
(919) 784-7874
Mailing address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2013-01206
NC
208600000X
Surgery Physician
4301089909
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301089909
MI
Other
Enumeration date
05/22/2007
Last updated
08/23/2024
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