person
Dr. Young Ja Park
Military Health Care Provider in Apo, N/A
NPI 1720077217

Young Ja Park is a Military Health Care Provider based in Apo, . Young Ja Park practices in Apo, . The NPI Number for Young Ja Park is 1720077217 and holds a License No. 133910-1 (N/A).

The current practice location address for Young Ja Park is 18Th Medcom, Apo, and can be reached out via phone at 011-822-7916 and via fax at 011. You can also correspond with Young Ja Park through the mailing address at 18TH MEDCOM, APO, AP - 96295-0054 (mailing address contact number: 011-822-7916).

Location: 18Th Medcom, Apo, , 96295-0054
person
Provider Profile Details
NPI Number
1720077217
Provider Name
Young Ja Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
18Th Medcom, Apo, , 96295-0054
Phone Number
011-822-7916
Fax Number
011
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18Th Medcom
City
Apo
State
Zip
96205-0054
Phone Number
011-822-7916
Fax Number
011
person
Provider Business Mailing Address Details
Address
18Th Medcom
City
Apo
State
Zip
96295-0054
Phone Number
011-822-7916
Fax Number
011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
133910-1 (New York)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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