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1215027008
BRIAN PARK
WASHINGTON, DC
NPI
1215027008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA C54964)
Enumeration Date
2006-10-13
Last Update Date
2021-11-18
Business Address
BRIAN PARK M.D.
DILOREZNO TRICARE HEALTH CLINIC FEDERAL BUILDING 2, RM 1345
WASHINGTON, DC 20370-0001
Phone number: 703-614-2726
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Mailing Address
BRIAN PARK M.D.
18436 ROSCOE BLVD
NORTHRIDGE, CA 91325-4107
Phone number: 855-504-4544
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