Dr. Bok Chung, MD
Psychiatry & Neurology, Psychiatry in St Louis Park, MN. Individual provider (NPI-1).
NPI number1386680353
StatusActive
Last updated in NPPESJul 2, 2021
Details
- NPI
- 1386680353
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bok Chung
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2006
- Certification date
- Jul 2, 2021
- Last updated
- Jul 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 63134 | MN | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | M8442 | ID | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 27154 | NE |
Practice location
3800 Park Nicollet BlvdSt Louis Park, MN 55416-2527
Phone 952-993-3123
Mailing address
8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Other practice locations
16909 Lakeside Hills Ct Ste 400
Omaha, NE 68130-4661
Omaha, NE 68130-4661
Phone 208-323-1125
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