Dongho Park, N.P.

NPI #1215088240 in Urbana, Illinois

Provider Information

NPI Number
1215088240
Entity Type
Individual
Name
Dongho Park, N.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
N.P.
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
602 W UNIVERSITY AVE
City
Urbana
ZIP Code
61801-2530
Phone
(217) 383-3311

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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