Doctor Name: | JOHN I PARK |
NPI Number: | 1518006725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD034829E |
Business Practice Address: | 109 Crossroads Rd Suite 6 Scottdale, PA - 156832458 |
Business Phone Number: | 7248877421 |
Business Fax Number: | 7248874145 |
Mailing Address: | 109 Crossroads Road, Suite 6 SCOTTDALE |
State: | PA |
Postal Code: | 15683 |
Phone Number: | 7248877421 |
Fax Number: | 7248874145 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2081P2900X |
License Number: | MD034829E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Physical Medicine & Rehabilitation |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |