Individual provider · Type 1 NPI
Joseph Park, DPM
Foot & Ankle Surgery Podiatrist · Pomona, CA
NPI number
1306231600
Active
Practice location
309 E 2nd St
Pomona, CA 91766-1854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5726 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1306231600
Joseph Park, DPM's National Provider Identifier is 1306231600, issued on Apr 2, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Pomona, CA. The record was last updated on Nov 5, 2021.