Individual
ALEXANDER JUNGHO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Mailing address
2717 WESTERN AVE, UNIT 6018, SEATTLE, WA 98121-1158
(253) 335-5828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60309739
WA
390200000X
Student in an Organized Health Care Education/Training Program
ML60092948
WA
Other
Enumeration date
07/27/2009
Last updated
06/23/2021
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