Mark J Park O.D.

NPI 1073517801 - Optometrist - 152W00000X

NPI Details
NPI 1073517801
Gender Male
Enumeration Date 06/09/2005
Last Updated 08/30/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
919 13TH AVE
DELANO CA, 93215-2202, US
Phone (661) 725-3795
Fax (661) 725-3797
Business Location
919 13TH AVE
DELANO CA, 93215-2202, US
Phone (661) 725-3795
Fax (661) 725-3797
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT10152T
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According to our database, Dr. Mark J Park O.D. NPI is 1073517801, taxonomy code is 152W00000X and license number is OPT10152T, license state is located at California. Mark J Park O.D. physically located at 919 13th Ave, Delano CA, 93215-2202. NPI Number Mark J Park O.D. has the Individual type.

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1073517801 NPI number is provided on an as is basis without warranty of any kind. 1073517801 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Park O.D. are for informational purposes only.