Ralph Park, M.d., L.l.c.

NPI #1720218688 in Shawnee Mission, Kansas

Provider Information

NPI Number: 1720218688
Entity Type: Organization
Organization Name: Ralph Park, M.d., L.l.c.
Primary Specialty: Surgery
Enumeration Date: Jul 24, 2009
Last Updated: Aug 12, 2009

Practice Location

Address: 8901 W 74TH STREET
Address 2: SUITE 124
City: Shawnee Mission
State: Kansas
ZIP Code: 66204
Phone: (913) 362-9444

Authorized Official

Name: DR. RALPH H PARK, M.D.
Title: MEMBER
Phone: (913) 653-9812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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