VICKIE JEAN PARK

JEFFERSON CITY, MO
NPI1851484349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  R9F46)
Enumeration Date2006-10-02
Last Update Date2007-07-09
Business Address
Dr. VICKIE JEAN PARK MD
100 ST. MARY'S MEDICAL PLAZA
JEFFERSON CITY, MO 65101
Phone number: 573-761-7011
Mailing Address
Dr. VICKIE JEAN PARK MD
2620 WESTBROOK WAY
COLUMBIA, MO 65203
Phone number: 573-442-1150