Individual
DR. INNA L. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 EDGEWOOD DR, SAINT LOUIS, MO 63105-2014
(314) 726-1412
(314) 726-1412
Mailing address
302 EDGEWOOD DR, SAINT LOUIS, MO 63105-2014
(314) 726-1412
(314) 726-1412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002000494
MO
Other
Enumeration date
06/01/2007
Last updated
07/25/2007
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