Individual
CHRISTOPHER WILLIAM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13280 EVENING CREEK DR S, SUITE 110, SAN DIEGO, CA 92128-4101
(858) 546-3800
Mailing address
3509 N 34TH ST, PHOENIX, AZ 85018-5703
(573) 356-5886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2008025572
MO
2085R0202X
Diagnostic Radiology Physician
Primary
A89672
CA
Other
Enumeration date
12/27/2005
Last updated
08/19/2016
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