Individual
DR. CHRISTOPHER A PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 DAUPHIN ST STE A, MOBILE, AL 36608-1725
(251) 340-6600
(251) 479-7164
Mailing address
3700 DAUPHIN ST STE A, MOBILE, AL 36608-1725
(251) 340-6600
(251) 479-7164
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0101241162
VA
208200000X
Plastic Surgery Physician
Primary
2007-00401
NC
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
0101241162
VA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
2007-00401
NC
2086S0105X
Surgery of the Hand (Surgery) Physician
2007-00401
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
0101241162
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
2007-00401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146F9
BCBS
—
01
—
202030
MEDCOST
—
05
—
3810009016
—
WV
01
—
510I240012
RAILROAD MEDICARE PTAN
AL
01
—
51595045
BLUE CROSS BLUE SHIELD
AL
05
—
5906699
—
NC
01
—
810641
PARTNERS
—
01
—
9897073
AETNA
—
05
—
Q0040L
—
SC
Enumeration date
03/07/2007
Last updated
03/15/2023
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