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Edward Y Park, DO
Nephrology Physician in Tempe, Arizona
NPI 1497783971

Edward Y Park is a Nephrology Physician based in Tempe, AZ and is specialized in Nephrology. Edward Y Park practices in Tempe, AZ and has the professional credentials of DO. The NPI Number for Edward Y Park is 1497783971 and holds a License No. 4218 (Arizona).

The current practice location address for Edward Y Park is 2149 E Warner Rd Ste 102, Tempe, AZ and can be reached out via phone at 480-610-6100 and via fax at 480-464-0189.

Location: 2149 E Warner Rd Ste 102, Tempe, AZ, 85284-3494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497783971
Provider Name
Edward Y Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2149 E Warner Rd Ste 102, Tempe, AZ, 85284-3494
Phone Number
480-610-6100
Fax Number
480-464-0189
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4218 01 AZ ARIZONA STATE LICENSE
2675627 05 OH
000000483998 01 OH BC/BS OF OHIO
182405 05 AZ
institution
Provider Business Practice Location Address Details
Address
2149 E Warner Rd Ste 102
City
Tempe
State
Arizona
Zip
85284-3495
Phone Number
480-610-6100
Fax Number
480-464-0189
person
Provider Business Mailing Address Details
Address
2149 E Warner Rd Ste 102
City
Tempe
State
Arizona
Zip
85284-3495
Phone Number
480-610-6100
Fax Number
480-464-0189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
4218 (Arizona)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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