Individual
DR. MATTHEW V. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Mailing address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
48231
WI
2080P0202X
Pediatric Cardiology Physician
Primary
MD 00049264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092505
—
WA
Enumeration date
09/25/2006
Last updated
10/25/2022
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