Organization
CHRIS PARK DO PC
Active
Other names
Park Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PARK DO (OWNER/PHYSICIAN)
(662) 397-4597
Entity
Organization
Contact information
Practice address
47 S MAIN ST, PONTOTOC, MS 38863-2823
(662) 499-2802
Mailing address
PO BOX 507, PONTOTOC, MS 38863-0507
(662) 308-7045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
02/18/2024
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