Organization
RALPH PARK, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH H PARK M.D. (MEMBER)
(913) 653-9812
Entity
Organization
Contact information
Practice address
8901 W 74TH STREET, SUITE 124, SHAWNEE MISSION, KS 66204
(913) 362-9444
(913) 362-9399
Mailing address
8901 W 74TH STREET, SUITE 124, SHAWNEE MISSION, KS 66204
(913) 362-9444
(913) 362-9399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-28712
KS
Other
Enumeration date
07/24/2009
Last updated
08/12/2009
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