Search › Missouri › 207Q00000X
Jaehyeon Park, MD
NPI 1447802681 · on the registry since 2019
Practice
- Address
- 1605 Martin Springs Dr Ste 230
Rolla, MO 65401 - Phone
- (573) 458-6326
- Organisation at this address
- Wiles Eye Care, Llc
Mercy Hospital Lebanon
Mercy Hospital Lebanon
Mercy Hospital Lebanon
Mercy Hospital SpringfieldInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Additional practice sites
- 102 W Kenwood Ave Ste 100, Decatur, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-22
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