Paul Park
NPI #1316180037 in Kent, Washington
Provider Information
- NPI Number
- 1316180037
- Entity Type
- Individual
- Name
- Paul Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 10, 2009
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 219 STATE AVE N STE 100
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-4543
- Phone
- (253) 372-3602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
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