Organization
JASON A PARK MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA JEANNE LAIEWSKI (ACCOUNTING MANAGER)
(916) 570-2840
Entity
Organization
Contact information
Practice address
1111 EXPOSITION BLVD STE 400A, SACRAMENTO, CA 95815-4336
(916) 570-2840
(916) 570-2845
Mailing address
1111 EXPOSITION BLVD, BUILDING 400 SUITE A, SACRAMENTO, CA 95815-4314
(916) 570-2840
(916) 570-2845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A62812
CA
Other
Enumeration date
06/24/2016
Last updated
03/20/2024
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