Individual provider · Type 1 NPI
Moon Soo Park, MD
Specialist · Hilo, HI
NPI number
1104084912
Active
Practice location
33 Lanihuli St
Hilo, HI 96720-4142
Fax (808) 935-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2093 (HI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104084912
Moon Soo Park, MD's National Provider Identifier is 1104084912, issued on May 29, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hilo, HI. The record was last updated on May 29, 2008.