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Organization

EDWARD H. PARK MD., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AUTUMN SZARZYNSKI (OFFICE MANAGER)
(909) 981-8985
Entity
Organization

Contact information

Practice address
1330 SAN BERNARDINO RD STE C, UPLAND, CA 91786-4980
(909) 981-8985
Mailing address
1330 SAN BERNARDINO RD STE C, UPLAND, CA 91786-4980
(909) 981-8985

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A75993
CA

Other

Enumeration date
12/09/2008
Last updated
08/11/2014
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