DANIEL S PARK

FORT KNOX, ZZ
NPI1225741952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-12-27
Last Update Date2022-12-27
Business Address
DANIEL S PARK PA-C
200 BRULE ST BLDG 871
FORT KNOX, ZZ
Phone number: 502-624-9333
Mailing Address
DANIEL S PARK PA-C
1166 NE LAUREL CT
ISSAQUAH, WA 98029-7676
Phone number: 206-778-9459