Individual
STEVEN L PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
407 S WHITE ST, N/A, MOUNT PLEASANT, IA 52641-2262
(319) 385-3141
(319) 385-6571
Mailing address
407 S WHITE ST, N/A, MOUNT PLEASANT, IA 52641-2262
(319) 385-3141
(319) 385-6571
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
069511
IA
Other
Enumeration date
03/29/2006
Last updated
07/09/2007
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