Douglas S. Park M.d. PA

NPI #1760635874 in Midland, Texas

Provider Information

NPI Number: 1760635874
Entity Type: Organization
Organization Name: Douglas S. Park M.d. PA
Primary Specialty: Specialist
Enumeration Date: Nov 3, 2008
Last Updated: Dec 8, 2011

Practice Location

Address: 705 W. WADLEY
City: Midland
State: Texas
ZIP Code: 79705-5373
Phone: (432) 687-4044

Authorized Official

Name: DOUGLAS S. PARK, M.D.
Title: OWNER
Phone: (432) 687-4044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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