Individual provider · Type 1 NPI
John Y. Park, MD
Otolaryngic Allergy Physician · Chesterfield, MO
NPI number
1316936115
Active
Practice location
226 S Woods Mill Rd, Ste 37W
Chesterfield, MO 63017-3662
Fax (314) 434-3191
Mailing address
PO Box 14369
St. Louis, MO 63178-4369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 108562 (MO) |
| Otolaryngic Allergy Physician Primary | 207YX0602X | 108562 (MO) |
Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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About NPI 1316936115
John Y. Park, MD's National Provider Identifier is 1316936115, issued on Oct 14, 2005. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Chesterfield, MO. The record was last updated on Mar 17, 2025.