Individual
DR. DANIEL S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1111 SONOMA AVE STE 316, SANTA ROSA, CA 95405-4820
(707) 523-4740
Mailing address
1111 SONOMA AVE STE 316, SANTA ROSA, CA 95405-4820
(707) 523-4740
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3371
CA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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