Daniel Ilwoo Park, MD

NPI #1376070359 in Jbsa Ft Sam Houston, Texas

Provider Information

NPI Number: 1376070359
Entity Type: Individual
Name: Daniel Ilwoo Park, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: May 22, 2017
Last Updated: Jul 27, 2023

Practice Location

Address: 3551 ROGER BROOKE DR
City: Jbsa Ft Sam Houston
State: Texas
ZIP Code: 78234-4504
Phone: (210) 916-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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