Individual
HIROMICHI S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3483 S EASTERN AVE, LAS VEGAS, NV 89169-3314
(702) 309-2311
(702) 309-2177
Mailing address
3483 S EASTERN AVE, LAS VEGAS, NV 89169-3314
(702) 309-2311
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
DO3259
NV
390200000X
Student in an Organized Health Care Education/Training Program
PG182644
OR
Other
Enumeration date
05/17/2017
Last updated
12/07/2022
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