Da Yon Park, PA-C

NPI #1053883579 in Fairfax, Virginia

Provider Information

NPI Number: 1053883579
Entity Type: Individual
Name: Da Yon Park, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 21, 2018
Last Updated: Dec 21, 2018

Practice Location

Address: 3620 JOSEPH SIEWICK DR STE 201
City: Fairfax
State: Virginia
ZIP Code: 22033-1758
Phone: (703) 391-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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