Sara E.Q. Park, MD
Pediatrics in Phoenix, AZ. Individual provider (NPI-1).
NPI number1790738698
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1790738698
- Entity type
- Individual (NPI-1)
- Name
- Sara E.Q. Park
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 23844 | AZ | Yes |
Practice location
4000 N Central AveComprehensive Medical & Dental, Azdcs, Sitecode C041-22
Phoenix, AZ 85012-1959
Phone 602-771-3638 · Fax 602-351-8529
Mailing address
Po Box 29202Comprehensive Medical & Dental, Azdcs, Sitecode C041-22
Phoenix, AZ 85038-9202
Phone 602-771-3638 · Fax 602-351-8529
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