Park, Brian Duke

Park, Brian Duke is an individual health care provider with primary practice located at 2725 Capitol Ave Dept 402 , Sacramento CA 95816-6032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Park, Brian Duke can be contacted via phone (916) 262-9400.

Contact Information

Primary practice address
2725 Capitol Ave Dept 402 Sacramento CA 95816-6032
Phone: (916) 262-9400
Fax: (916) 262-9399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME 115350 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A97247 California

Profile Details

NPI number 1508918616
LBN Legal business name Park, Brian Duke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508918616 NPPES
Florida Other 14QW7 BLUE CROSS BLUE SHIELD
Florida MEDICAID 009175600 BLUE CROSS BLUE SHIELD

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