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Dr. William Isaiah Park IV, MD
Orthopedic Foot and Ankle Surgery Physician in Daphne, Alabama
NPI 1780642710

William Isaiah Park IV is a Orthopedic Foot and Ankle Surgery Physician based in Daphne, AL and is specialized in Foot and Ankle Surgery. William Isaiah Park IV practices in Daphne, AL and has the professional credentials of MD. The NPI Number for William Isaiah Park IV is 1780642710 and holds a License No. 00024958 (Alabama).

The current practice location address for William Isaiah Park IV is 1505 Daphne Ave, Daphne, AL and can be reached out via phone at 251-625-2663 and via fax at 251-625-3198.

Location: 1505 Daphne Ave, Daphne, AL, 36526-4298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780642710
Provider Name
William Isaiah Park IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1505 Daphne Ave, Daphne, AL, 36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0126962 05 MS
631187140 01 TAX ID
051552744 05 AL
051512928 01 AL BCBS
200045417 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1505 Daphne Ave
City
Daphne
State
Alabama
Zip
36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
person
Provider Business Mailing Address Details
Address
1505 Daphne Ave
City
Daphne
State
Alabama
Zip
36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
00024958 (Alabama)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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