Individual
DR. BRIAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-6500
(206) 215-6599
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
04-47989
KS
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD60216901
WA
Other
Enumeration date
09/26/2007
Last updated
09/22/2023
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