Individual
DR. CHEON GYU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3900 UNIVERSITY DR STE 100, FAIRFAX, VA 22030-2513
(571) 253-5539
Mailing address
3900 UNIVERSITY DR STE 100, FAIRFAX, VA 22030-2513
(571) 253-5539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557163
VA
Other
Enumeration date
04/14/2014
Last updated
11/17/2023
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