Christopher A Park in Mobile - Plastic And Reconstructive Surgery

Christopher A Park - NPI 1497885339

Christopher A Park is a Plastic And Reconstructive Surgery in Mobile, Alabama. Christopher A Park practices all healthcare services and medical treatments related to Plastic And Reconstructive 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 And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No 2007-00401
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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 And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.

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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