Christopher Lane Park, DO

NPI #1710181078 in Pontotoc, Mississippi

Provider Information

NPI Number: 1710181078
Entity Type: Individual
Name: Christopher Lane Park, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 12, 2007
Last Updated: Mar 4, 2022

Practice Location

Address: 11 E JEFFERSON ST
City: Pontotoc
State: Mississippi
ZIP Code: 38863-2807
Phone: (662) 499-2802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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