Individual
DR. TYRUS PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UPPER CHESAPEAKE DR UPPR, BEL AIR, MD 21014-4324
(443) 643-2110
Mailing address
500 UPPER CHESAPEAKE DR UPPR, BEL AIR, MD 21014-4324
(443) 643-2110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D79115
MD
Other
Enumeration date
05/26/2011
Last updated
07/02/2021
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