Organization
CHONG MIN PARK, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONG MIN PARK M.D. (PRESIDENT)
(814) 226-7800
Entity
Organization
Contact information
Practice address
24 DOCTORS LN, SUITE 304, CLARION, PA 16214-8568
(814) 226-7800
(814) 226-7801
Mailing address
24 DOCTORS LN, SUITE 304, CLARION, PA 16214-8568
(814) 226-7800
(814) 226-7801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD428499
PA
207XS0106X
Orthopaedic Hand Surgery Physician
MD428499
PA
Other
Enumeration date
05/17/2007
Last updated
01/05/2009
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