Chan J. Park is a Surgery in Vermillion, South Dakota. Chan J. Park practices all healthcare services and medical treatments related to Surgery. The NPI Number for Chan J. Park is 1306894332. The last update date is 2013-09-12.
Chan J. Park's current location address is 20 S Plum St, Vermillion, South Dakota. You can contact this provider via phone number 6056249111 and fax number 6056246636. The mailing address for Chan J. Park is 20 S Plum St, Vermillion, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chan J. Park |
|---|---|
| Address | 20 S Plum St, Vermillion, South Dakota |
| Phone Number | 6056249111 |
| Fax Number | 6056246636 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306894332 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 20 S Plum St |
|---|---|
| City | Vermillion |
| State | South Dakota (SD) |
| Post Code | 570693346 |
| Phone Number | 6056249111 |
| Fax Number | 6056246636 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 5009 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7301822 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chan J. Park by the Centers for Medicare & Medicaid Services?
The Chan J. Park has been issued the NPI (National Provider Identifier) 1306894332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Chan J. Park's physical address?
The Chan J. Park is physically located at 20 S Plum St, in the city of Vermillion, SD, with the postal code 570693346.
What is the Chan J. Park's specialty and taxonomy code?
The Chan J. Park's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When was the Chan J. Park's 1306894332 issued?
The Chan J. Park's 1306894332 was issued on 2006-05-04.
As of what date were the details related to Chan J. Park most recently updated or revised?
The information pertaining to Chan J. Park, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-12.