Individual
THERESA PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10484 W THUNDERBIRD BLVD STE 100, SUN CITY, AZ 85351-6019
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10531
AZ
207X00000X
Orthopaedic Surgery Physician
DO209585
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138301
—
AZ
Enumeration date
05/24/2017
Last updated
08/08/2025
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