Individual
JI EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MA
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70403
AZ
207RC0000X
Cardiovascular Disease Physician
70403
AZ
207RI0011X
Interventional Cardiology Physician
Primary
70403
AZ
Other
Enumeration date
04/17/2015
Last updated
07/01/2023
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