Individual
DR. BRIAN DUKE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 CAPITOL AVE DEPT 402, SACRAMENTO, CA 95816-6032
(916) 262-9400
(916) 262-9399
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A97247
CA
2086S0129X
Vascular Surgery Physician
ME 115350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009175600
—
FL
01
—
14QW7
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/17/2007
Last updated
01/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us