Individual
JOHN I PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 CROSSROADS RD, SUITE 6, SCOTTDALE, PA 15683-2458
(724) 887-7421
(724) 887-4145
Mailing address
109 CROSSROADS ROAD, SUITE 6, SCOTTDALE, PA 15683
(724) 887-7421
(724) 887-4145
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD034829E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011173760007
—
PA
01
—
197526
HIGHMARK
—
Enumeration date
02/05/2007
Last updated
07/08/2007
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