Suzan Park, OD

NPI #1083873863 in Mesquite, Texas

Provider Information

NPI Number: 1083873863
Entity Type: Individual
Name: Suzan Park, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 5, 2008
Last Updated: Jun 17, 2009

Practice Location

Address: 1128 N GALLOWAY AVE
City: Mesquite
State: Texas
ZIP Code: 75149-7415
Phone: (972) 288-4427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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