Individual
SARA E.Q. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 N CENTRAL AVE, COMPREHENSIVE MEDICAL & DENTAL, AZDCS, SITECODE C041-22, PHOENIX, AZ 85012-1959
(602) 771-3638
(602) 351-8529
Mailing address
PO BOX 29202, COMPREHENSIVE MEDICAL & DENTAL, AZDCS, SITECODE C041-22, PHOENIX, AZ 85038-9202
(602) 771-3638
(602) 351-8529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339491
—
AZ
Enumeration date
05/19/2006
Last updated
03/07/2023
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