DR. Dana Michael Park, M.D.

NPI #1215036165 in Tyler, Texas

Provider Information

NPI Number: 1215036165
Entity Type: Individual
Name: DR. Dana Michael Park, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Sep 21, 2006
Last Updated: Jan 20, 2015

Practice Location

Address: 1910 ROSELAND BLVD
City: Tyler
State: Texas
ZIP Code: 75701-4246
Phone: (903) 533-0644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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