Jung K Park in Phoenix - Vascular & Interventional Radiology
Jung K Park - NPI 1700834777
Jung K Park is a Vascular & Interventional Radiology in Phoenix, Arizona. Jung K Park practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Jung K Park is 1700834777. The last update date is 2007-07-08.
Jung K Park's current location address is 11209 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 6022488002 and fax number 6022488399. The mailing address for Jung K Park is 11209 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jung K Park |
|---|---|
| Address | 11209 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 6022488002 |
| Fax Number | 6022488399 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700834777 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11209 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850283091 |
| Phone Number | 6022488002 |
| Fax Number | 6022488399 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | F91378 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1Z7049 | AZ | HEALTHNET | |
| AZ0324990 | AZ | BCBS | |
| 431726 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique identification code assigned to Jung K Park by the Centers for Medicare & Medicaid Services?
The Jung K Park has been issued the NPI (National Provider Identifier) 1700834777. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jung K Park's physical address?
The Jung K Park is physically located at 11209 N Tatum Blvd, in the city of Phoenix, AZ, with the postal code 850283091.
What is Jung K Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jung K Park is Vascular & Interventional Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0204X.
When did the Jung K Park receive its 1700834777?
The Jung K Park was issued its 1700834777 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Jung K Park's details last updated?
The information pertaining to the Jung K Park, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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