DR. Inn T Park, M.D.

NPI #1588713853 in Nevada, Missouri

Provider Information

NPI Number
1588713853
Entity Type
Individual
Name
DR. Inn T Park, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential
M.D.
Enumeration Date
Jan 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2323 N ASH ST
City
Nevada
ZIP Code
64772-1054
Phone
(417) 667-7833

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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