Frederick Park M.D., PH.D.

NPI 1013113208 - Internal Medicine - 207R00000X

NPI Details
NPI 1013113208
Gender Male
Enumeration Date 06/25/2007
Last Updated 04/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
200 W ARBOR DR
SAN DIEGO CA, 92103-9001, US
Phone (619) 543-1849
Fax
Business Location
9506 EASTER WAY
SAN DIEGO CA, 92121-1931, US
Phone (206) 372-4792
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A106773
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According to our database, Dr. Frederick Park M.D., PH.D. NPI is 1013113208, taxonomy code is 207R00000X and license number is A106773, license state is located at California. Frederick Park M.D., PH.D. physically located at 200 W Arbor Dr, San Diego CA, 92103-9001. NPI Number Frederick Park M.D., PH.D. has the Individual type.

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1013113208 NPI number is provided on an as is basis without warranty of any kind. 1013113208 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Park M.D., PH.D. are for informational purposes only.