Maria Park, DO
Pediatrics in Apo, AP. Individual provider (NPI-1).
NPI number1669974150
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1669974150
- Entity type
- Individual (NPI-1)
- Name
- Maria Park
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Jul 17, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0102205884 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
51st Osan MdgApo, AP 96266
Phone 315-784-2552
Mailing address
51 Mdg, Unit 2060Osan Ab
Apo, AP 96266-0010
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