Individual
EUGENE L PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK BLVD STE D, PETERSBURG, VA 23805
(804) 765-6100
(804) 765-6101
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 765-6100
(804) 765-6101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101247088
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992707137
—
VA
05
—
860777
—
AZ
Enumeration date
06/01/2005
Last updated
02/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us