Organization
THOMAS C. PARK, M.D., CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C PARK MD (OWNER)
(916) 929-6705
Entity
Organization
Contact information
Practice address
500 UNIVERSITY AVE, SUITE 260, SACRAMENTO, CA 95825-6504
(916) 929-6705
(916) 929-6641
Mailing address
PO BOX 4357, DAVIS, CA 95617-4357
(916) 929-6705
(916) 929-6641
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G681040
CA
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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