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Individual

DR. HEE MYUNG PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7614 WILLIAM PENN PL, INDIANAPOLIS, IN 46256-2288
(317) 579-9080
Mailing address
7614 WILLIAM PENN PL, INDIANAPOLIS, IN 46256-2288
(317) 579-9080

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01026154A
IN
207U00000X
Nuclear Medicine Physician
Primary
01026154A
IN

Other

Enumeration date
01/21/2010
Last updated
01/21/2010
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