Individual
ROBERT I PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3772
(828) 693-1773
(828) 692-3297
Mailing address
1701 OLD VILLAGE RD, HENDERSONVILLE, NC 28791-3772
(828) 693-1773
(828) 692-3297
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2007-00304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2064590
MEDICARE
—
05
—
5906514
—
NC
Enumeration date
10/17/2006
Last updated
03/09/2011
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