Dr. David J Park, M.D.
Family Medicine in White River Junction, VT. Individual provider (NPI-1).
NPI number1790780211
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1790780211
- Entity type
- Individual (NPI-1)
- Name
- Dr. David J Park
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2005
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 042-0010755 | VT | Yes |
Practice location
331 Olcott DrSte U3
White River Junction, VT 05001-9601
Phone 802-295-6132 · Fax 802-295-1358
Mailing address
331 Olcott DrSte U3
White River Junction, VT 05001-9601
Phone 802-295-6132 · Fax 802-295-1358
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All 10 Family Medicine Physician providers in White River Junction · All 555 providers in White River Junction
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