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Abraham Park
NPI 1174204911 · on the registry since 2023 · sole proprietor
Practice
- Address
- 32 Dillon Plaza Dr
High Ridge, MO 63049 - Phone
- (636) 677-3100
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri