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Individual

JULIE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
404 N KEENE ST, WOMEN'S AND CHILDREN'S HOSPITAL, COLUMBIA, MO 65201-6626
(573) 882-4438
(573) 884-9992
Mailing address
400 N KEENE ST, SOUTH PAVILION, COLUMBIA, MO 65201-6626
(573) 882-4438
(573) 884-9992

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016022755
MO
2080P0205X
Pediatric Endocrinology Physician
Primary
MD197784
OR

Other

Enumeration date
08/06/2016
Last updated
08/22/2024
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