Individual
DR. DAVID PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8101 HINSON FARM RD, ALEXANDRIA, VA 22306-3403
(703) 780-9014
(703) 780-9077
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(703) 780-9014
(703) 780-9077
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101251577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457518722
—
VA
Enumeration date
05/22/2008
Last updated
11/27/2023
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