person
Dr. Dal Park, MD
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1629450804

Dal Park is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Dal Park practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Dal Park is 1629450804 and holds a License No. R75295 (Arizona).

The current practice location address for Dal Park is 2000 W Bethany Home Rd, Phoenix, AZ and can be reached out via phone at 602-246-5658.

Location: 2000 W Bethany Home Rd, Phoenix, AZ, 85015-2443
person
Provider Profile Details
NPI Number
1629450804
Provider Name
Dal Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2000 W Bethany Home Rd, Phoenix, AZ, 85015-2443
Phone Number
602-246-5658
Fax Number
Provider Enumeration Date
06/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Bethany Home Rd
City
State
Zip
85015-2443
Phone Number
602-246-5658
Fax Number
person
Provider Business Mailing Address Details
Address
2000 W Bethany Home Rd
City
State
Zip
85015-2443
Phone Number
602-246-5658
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
R75295 (Arizona)
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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