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1124050505
STEPHEN PARK
DALY CITY, CA
NPI
1124050505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: CA G55543)
Enumeration Date
2006-07-07
Last Update Date
2015-03-24
Business Address
-- STEPHEN PARK M.D.
1900 SULLIVAN AVE
DALY CITY, CA 94015-2200
Phone number: 650-991-0600
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Mailing Address
-- STEPHEN PARK M.D.
418 VIRGINIA AVE
SAN MATEO, CA 94402-2236
Phone number: 650-455-4937
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