Individual
DR. CHAN H PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22226 CLIFF AVE S, #304, DES MOINES, WA 98198-4619
(253) 946-9365
(253) 946-9365
Mailing address
22226 CLIFF AVE S, #304, DES MOINES, WA 98198-4619
(253) 946-9365
(253) 946-9365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28108
AZ
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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