JASON PARK

KINGSPORT, TN
NPI1457554826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TN  42228)
Enumeration Date2007-06-06
Last Update Date2009-09-23
Business Address
-- JASON PARK MD
105 W STONE DR STE 4B
KINGSPORT, TN 37660-3256
Phone number: 423-578-1570
Mailing Address
-- JASON PARK MD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2091
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