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Individual

DR. MICHAEL HUGH PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9040 FITZSIMMONS DR, TACOMA, WA 98431-1000
(253) 968-1110
Mailing address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-0354

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
468
NE

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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