Susan Jin-sun Park MD

NPI 1003070640 - Family Medicine - 207QS0010X

NPI Details
NPI 1003070640
Gender Female
Enumeration Date 07/14/2008
Last Updated 09/29/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
RENO NV, 89511-5991, US
Phone (775) 826-8100
Fax (775) 826-8477
Business Location
RENO NV, 89502-0845, US
Phone (775) 982-4590
Fax (775) 982-4595
Taxonomy Code 207QS0010X
License State California
License Number A98140
Remove 1003070640 NPI Number

According to our database, Dr. Susan Jin-sun Park MD NPI is 1003070640, taxonomy code is 207QS0010X and license number is A98140, license state is located at California. Susan Jin-sun Park MD physically located at 25 Mccabe Dr, Reno NV, 89511-5991. NPI Number Susan Jin-sun Park MD has the Individual type.

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1003070640 NPI number is provided on an as is basis without warranty of any kind. 1003070640 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Jin-sun Park MD are for informational purposes only.