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Dr. Moon Soo Park, MD
Specialist in Hilo, Hawaii
NPI 1104084912

Moon Soo Park is a Specialist based in Hilo, HI. Moon Soo Park practices in Hilo, HI and has the professional credentials of MD. The NPI Number for Moon Soo Park is 1104084912 and holds a License No. 2093 (Hawaii).

The current practice location address for Moon Soo Park is 33 Lanihuli St, Hilo, HI and can be reached out via phone at 808-935-4814 and via fax at 808-935-2518.

Location: 33 Lanihuli St, Hilo, HI, 96720-4142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104084912
Provider Name
Moon Soo Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
33 Lanihuli St, Hilo, HI, 96720-4142
Phone Number
808-935-4814
Fax Number
808-935-2518
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Lanihuli St
City
Hilo
State
Hawaii
Zip
96720-4142
Phone Number
808-935-4814
Fax Number
808-935-2518
person
Provider Business Mailing Address Details
Address
33 Lanihuli St
City
Hilo
State
Hawaii
Zip
96720-4142
Phone Number
808-935-4814
Fax Number
808-935-2518
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2093 (Hawaii)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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