Search › New Mexico › 225100000X
James Park, DOM
NPI 1255396719 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6501 Eagle Rock Ave Ne
Suite A6
Albuquerque, NM 87113 - Phone
- (505) 797-5400
- Fax
- (505) 797-2905
- Organisation at this address
- James Park
East West Integrated Pain & Rehab Center Llc
Kokopelli East West Integrated Family Walk-In Clinic, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 171100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-20
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 New Mexico