Individual provider · Type 1 NPI

Brian Park, MD

Diagnostic Radiology Physician · Washington, DC

NPI number 1215027008 Active

Practice location

Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345
Washington, DC 20370-0001

Call (703) 614-2726 Map

Fax (703) 614-1593

Mailing address

18436 Roscoe Blvd
Northridge, CA 91325-4107

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XC54964 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1215027008

Brian Park, MD's National Provider Identifier is 1215027008, issued on Oct 13, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Washington, DC. The record was last updated on Nov 18, 2021.