Christopher A Park in Mobile - Plastic Surgery

Christopher A Park - NPI 1497885339

Christopher A Park is a Plastic Surgery in Mobile, Alabama. Christopher A Park practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Christopher A Park is 1497885339. The last update date is 2023-03-15.

Christopher A Park's current location address is 3700 Dauphin St Ste A, Mobile, Alabama. You can contact this provider via phone number 2513406600 and fax number 2514797164. The mailing address for Christopher A Park is 3700 Dauphin St Ste A, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher A Park
Address 3700 Dauphin St Ste A, Mobile, Alabama
Phone Number 2513406600
Fax Number 2514797164
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1497885339
Provider Enumeration Date 2007-03-07
Last Updated Date 2023-03-15

Provider Mailing Address Detail

Address 3700 Dauphin St Ste A
City Mobile
State Alabama (AL)
Post Code 366081725
Phone Number 2513406600
Fax Number 2514797164

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 101241162
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3810009016 WV --
510I240012 AL RAILROAD MEDICARE PTAN
202030 MEDCOST
146F9 BCBS
810641 PARTNERS
9897073 AETNA
510I240012 AL MEDICARE PTAN
51595045 AL BLUE CROSS BLUE SHIELD
5906699 NC --
Q0040L SC --

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FAQs about Christopher A Park

What is the Christopher A Park's unique identification number?

The Christopher A Park has been assigned the NPI (National Provider Identifier) Number 1497885339 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Christopher A Park's physical address?

The Christopher A Park is physically located at 3700 Dauphin St Ste A, in the city of Mobile, AL, with the postal code 366081725.

What is Christopher A Park's specialized field of practice, and what is the corresponding taxonomy classification code?

The Christopher A Park's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.

On what date did the Christopher A Park receive its 1497885339 assignment from the Centers for Medicare & Medicaid Services?

The Christopher A Park was assigned its 1497885339 by the Centers for Medicare & Medicaid Services on 2007-03-07.

As of what date was the information regarding Christopher A Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Christopher A Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-15.

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