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William Park

NPI 1750572251 · on the registry since 2007 · sole proprietor

Practice

Address
101 Cibeque Circle
San Carlos, AZ 85550
Phone
(520) 475-7272

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-08

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 Arizona