Individual
DR. GRACE EUNJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79930-5097
(915) 742-1900
(915) 742-9488
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79930-5097
(915) 742-1900
(915) 742-9488
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27457
NE
208D00000X
General Practice Physician
27457
NE
Other
Enumeration date
02/16/2012
Last updated
03/03/2021
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