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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. You can also correspond with Brian B Park through the mailing address at 9601 PULASKI PARK DR, BALTIMORE, MD - 21220-1409 (mailing address contact number: 410-933-5678).

Location: 4200 Edmondson Ave, Baltimore, MD, 21220-1409
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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
State
Zip
21229-1612
Phone Number
410-947-0300
Fax Number
410-947-0328
person
Provider Business Mailing Address Details
Address
4200 Edmondson Ave
City
State
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
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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