Individual
STEPHEN S. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2980
(434) 924-5700
(434) 924-1736
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101050773
VA
Other
Enumeration date
11/07/2006
Last updated
08/09/2023
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