Jason Park, MD

NPI #1457554826 in Kingsport, Tennessee

Provider Information

NPI Number: 1457554826
Entity Type: Individual
Name: Jason Park, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 6, 2007
Last Updated: Sep 23, 2009

Practice Location

Address: 105 W STONE DR
Address 2: STE 4B
City: Kingsport
State: Tennessee
ZIP Code: 37660-3256
Phone: (423) 578-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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