Individual
SUNGKOOK ANDREW PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8402 CENTENNIAL PKWY, LAS VEGAS, NV 89149
(702) 948-8660
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
17024
NV
208VP0000X
Pain Medicine Physician
Primary
17024
NV
208VP0014X
Interventional Pain Medicine Physician
17024
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972869345
—
NV
Enumeration date
04/10/2012
Last updated
07/21/2022
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