Individual
MARY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
939 CAROLINE ST # 3E, PORT ANGELES, WA 98362-3909
(360) 565-0599
(360) 452-7303
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61579915
WA
207VX0000X
Obstetrics Physician
280368
NY
Other
Enumeration date
06/10/2011
Last updated
10/15/2024
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