SearchVirginia208800000X

Eugene Park, MD

NPI 1992707137 · on the registry since 2005

Practice

Address
40 Medical Park Blvd Ste D
Petersburg, VA 23805
Phone
(804) 765-6100
Fax
(804) 765-6101
Organisation at this address
Medarva Physician Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-05

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 Virginia