Individual
DR. HYUNSOON EDIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, VETERANS HEALTH CARE SYSTEM OF THE OZARKS, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
4105 TREETOPS CIR, WINTERVILLE, NC 28590-9221
(252) 412-0542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200200581
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900452
—
NC
Enumeration date
04/25/2006
Last updated
09/23/2009
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