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1821189002
FREDERIC C PARK
CAPE GIRARDEAU, MO
NPI
1821189002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY 21342)
Enumeration Date
2006-09-27
Last Update Date
2022-08-02
Business Address
FREDERIC C PARK MD
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-334-6071
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Mailing Address
FREDERIC C PARK MD
70 DOCTORS PARK
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-334-6071
Copy
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