Park, Mary

Park, Mary is an individual health care provider with primary practice located at 2900 E 136Th Ave Ste 100 , Thornton CO 80241-3542. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Park, Mary can be contacted via phone (303) 999-3950.

Contact Information

Primary practice address
2900 E 136Th Ave Ste 100 Thornton CO 80241-3542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 280368 New York

Profile Details

NPI number 1609161330
LBN Legal business name Park, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Nov 29th, 2021 - about 4 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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