person
Chan M Park, MD
Family Medicine Physician in Ridgeway, Virginia
NPI 1457467037

Chan M Park is a Family Medicine Physician based in Ridgeway, VA. Chan M Park practices in Ridgeway, VA and has the professional credentials of MD. The NPI Number for Chan M Park is 1457467037 and holds a License No. 0101229138 (Virginia).

The current practice location address for Chan M Park is 6460 Greensboro Rd, Ridgeway, VA and can be reached out via phone at 276-956-2047 and via fax at 276-956-1637.

Location: 6460 Greensboro Rd, Ridgeway, VA, 24148-3478
person
Provider Profile Details
NPI Number
1457467037
Provider Name
Chan M Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6460 Greensboro Rd, Ridgeway, VA, 24148-3478
Phone Number
276-956-2047
Fax Number
276-956-1637
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010011019 05 VA
463669 01 VA ANTHEM, BCBS OF VIRGINIA
A1738 01 MEDCOST PREFERRED
3506280 01 CIGNA
0005372768 01 AETNA
2108815 01 MAMSI
institution
Provider Business Practice Location Address Details
Address
6460 Greensboro Rd
City
State
Zip
24148-3478
Phone Number
276-956-2047
Fax Number
276-956-1637
person
Provider Business Mailing Address Details
Address
6460 Greensboro Rd
City
State
Zip
24148-3478
Phone Number
276-956-2047
Fax Number
276-956-1637
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
0101229138 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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