Individual
FREDERIC C PARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(812) 471-6650
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21342
KY
Other
Enumeration date
09/27/2006
Last updated
08/02/2022
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