person
Jong Park, MD
Diagnostic Radiology Physician in Fayetteville, Arkansas
NPI 1952526972

Jong Park is a Diagnostic Radiology Physician based in Russellville, AR and is specialized in Diagnostic Radiology. Jong Park practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Jong Park is 1952526972 and holds a License No. E5013 (Arkansas).

The current practice location address for Jong Park is 3215 N Northhills Blvd, Fayetteville, AR and can be reached out via phone at 479-968-7930 and via fax at 479-968-4331.

Location: 3215 N Northhills Blvd, Fayetteville, AR, 72811
person
Provider Profile Details
NPI Number
1952526972
Provider Name
Jong Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3215 N Northhills Blvd, Fayetteville, AR, 72811
Phone Number
479-968-7930
Fax Number
479-968-4331
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5H161 01 AR BCBS
175747001 05 AR
institution
Provider Business Practice Location Address Details
Address
3215 N Northhills Blvd
City
State
Zip
72703-4424
Phone Number
479-968-7930
Fax Number
479-968-4331
person
Provider Business Mailing Address Details
Address
3215 N Northhills Blvd
City
State
Zip
72703-4424
Phone Number
479-968-7930
Fax Number
479-968-4331
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
E5013 (Arkansas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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