Individual
ASHLEE MARI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-4997
(808) 433-4995
Mailing address
99-756 HALAWA DR, AIEA, HI 96701-3141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014-01145
NC
207R00000X
Internal Medicine Physician
Primary
MD-17821
HI
Other
Enumeration date
06/14/2011
Last updated
05/29/2020
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