Individual
DR. ROBIN S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 CRAIG RD, SUITE 100, CREVE COEUR, MO 63141-7138
(314) 991-1033
(314) 991-1031
Mailing address
777 CRAIG RD, SUITE 100, CREVE COEUR, MO 63141-7138
(314) 991-1033
(314) 991-1031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R3M29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203592506
—
MO
Enumeration date
07/13/2006
Last updated
03/22/2013
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