Individual provider · Type 1 NPI

Hyuckwon Park, PA-C

Physician Assistant · Manassas, VA

NPI number 1073348876 Active

Practice location

8609 Sudley Rd Ste 105
Manassas, VA 20110-4500

Call (703) 393-8883 Map

Fax (866) 765-1362

Mailing address

5100 Woodmere Dr # 320
Centreville, VA 20120-4325

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110011559 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073348876

Hyuckwon Park, PA-C's National Provider Identifier is 1073348876, issued on Sep 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Manassas, VA. The record was last updated on Feb 24, 2026.