Michael Park
NPI #1790724904 in Pinehurst, North Carolina
Provider Information
- NPI Number
- 1790724904
- Entity Type
- Individual
- Name
- Michael Park
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Jun 5, 2006
- Last Updated
- May 24, 2021
Practice Location
- Address
- 30 MEMORIAL DR
- Address 2
- SUITE 3950
- City
- Pinehurst
- State
- North Carolina
- ZIP Code
- 28374-8707
- Phone
- (910) 295-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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