Individual provider · Type 1 NPI
Soo Jung Park, PA-C
Physician Assistant · Dulles, VA
Practice location
24430 Stone Springs Blvd Suite 275
Dulles, VA 20166-2270
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Other practice locations
- Msc 4315 235 Martin Luther King Jr Way, Harrisonburg, VA 22807-0001 · (540) 568-7658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Physician Assistant Primary | 363A00000X | 0110010844 (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 1225836844
Soo Jung Park, PA-C's National Provider Identifier is 1225836844, issued on Mar 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dulles, VA. The record was last updated on Aug 29, 2025.