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Dr. Brian B Park, DC
Chiropractor in Baltimore, Maryland
NPI 1891778064

Brian B Park is a Chiropractor based in Baltimore, MD. Brian B Park practices in Baltimore, MD and has the professional credentials of DC. The NPI Number for Brian B Park is 1891778064 and holds a License No. S01759 (Maryland).

The current practice location address for Brian B Park is 4200 Edmondson Ave, Baltimore, MD and can be reached out via phone at 410-947-0300 and via fax at 410-947-0328.

Location: 4200 Edmondson Ave, Baltimore, MD, 21220-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891778064
Provider Name
Brian B Park
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4200 Edmondson Ave, Baltimore, MD, 21220-1409
Phone Number
410-947-0300
Fax Number
410-947-0328
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
685841 01 MD CAREFIRST
794476 01 MD CAQH
institution
Provider Business Practice Location Address Details
Address
4200 Edmondson Ave
City
Baltimore
State
Maryland
Zip
21229-1612
Phone Number
410-947-0300
Fax Number
410-947-0328
person
Provider Business Mailing Address Details
Address
4200 Edmondson Ave
City
Baltimore
State
Maryland
Zip
21229-1612
Phone Number
410-947-0300
Fax Number
410-947-0328
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
S01759 (Maryland)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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