Individual
JOHN YUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 731-4101
(920) 735-7618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5790
OK
208M00000X
Hospitalist Physician
5790
OK
208M00000X
Hospitalist Physician
Primary
81127
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
05/10/2023
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