Individual
JOHN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617-2300
(509) 339-4348
Mailing address
151 DU RHU DR APT 2407, MOBILE, AL 36608-1274
(509) 339-4348
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143421
AL
Other
Enumeration date
06/26/2021
Last updated
05/05/2023
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