Park, Donald W
Park, Donald W is an individual health care provider with primary practice located at 1101 E Missouri Ave , Phoenix AZ 85014-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Park, Donald W can be contacted via phone (602) 222-2221.Contact Information
Primary practice address
1101 E Missouri Ave
Phoenix AZ 85014-2709
Phone: (602) 222-2221
Fax: (602) 266-2044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25318 | Arizona |
Profile Details
| NPI number | 1073515854 |
|---|---|
| LBN Legal business name | Park, Donald W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073515854 | NPPES |
| Arizona | MEDICAID | 384230 |
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