person
Mr. Ji Yoon Park, MD
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1306535661

Ji Yoon Park is a Student in an Organized Health Care Education/Training Program based in Bucheon-Si, WV. Ji Yoon Park practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Ji Yoon Park is 1306535661 and holds a License No. (West Virginia).

The current practice location address for Ji Yoon Park is 3200 Maccorkle Avenue Southeast, Charleston, WV and can be reached out via phone at 304-388-5590 and via fax at 304-388-8238.

Location: 3200 Maccorkle Avenue Southeast, Charleston, WV, 14600
person
Provider Profile Details
NPI Number
1306535661
Provider Name
Ji Yoon Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Avenue Southeast, Charleston, WV, 14600
Phone Number
304-388-5590
Fax Number
304-388-8238
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Avenue Southeast
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Avenue Southeast
City
State
Zip
25304
Phone Number
304-388-5590
Fax Number
304-388-8238
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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