Individual
DR. ANDREW YONG-WOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5337
Mailing address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047900
CT
207R00000X
Internal Medicine Physician
Primary
2021015735
MO
207R00000X
Internal Medicine Physician
RT1630
NH
Other
Enumeration date
12/27/2006
Last updated
07/21/2021
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