CHAN JEROME PARK

LAS VEGAS, NV
NPI1932498722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NV  20992)
Enumeration Date2011-03-31
Last Update Date2021-08-11
Business Address
CHAN JEROME PARK MD, PhD
7190 S CIMARRON RD
LAS VEGAS, NV 89113-2171
Phone number: 702-616-5801
Mailing Address
CHAN JEROME PARK MD, PhD
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number:
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