Individual
STEVEN ILKWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025-2948
(704) 403-1370
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01662
NC
207RH0003X
Hematology & Oncology Physician
2009-01662
NC
207RX0202X
Medical Oncology Physician
Primary
2009-01662
NC
Other
Enumeration date
08/12/2006
Last updated
07/15/2024
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