Individual
EUN-MI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2035 VILLAGE CENTER CIR STE 110, LAS VEGAS, NV 89134
(702) 228-7117
(702) 804-5365
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5704
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002699
—
NV
01
—
V24262
LAB
NV
01
—
VWCGZT
MEDICARE GROUP
NV
Enumeration date
02/09/2006
Last updated
08/29/2018
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