DR. Jonathon Lex Park, MD

NPI #1588649289 in Bandon, Oregon

Provider Information

NPI Number: 1588649289
Entity Type: Individual
Name: DR. Jonathon Lex Park, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 14, 2005
Last Updated: Oct 9, 2013

Practice Location

Address: 110 10TH ST SE
City: Bandon
State: Oregon
ZIP Code: 97411-9157
Phone: (541) 347-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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