Individual
DR. PETER H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 W 119TH ST, SUITE 430, OVERLAND PARK, KS 66209-3721
(913) 253-3000
(913) 663-2980
Mailing address
5701 W 119TH ST, SUITE 430, OVERLAND PARK, KS 66209-3721
(913) 253-3000
(913) 663-2980
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
2006013533
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
T-00529
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-00529
KS LICENSE
KS
Enumeration date
05/31/2006
Last updated
01/26/2022
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