Individual provider · Type 1 NPI

Stephen S. Park

Otolaryngology Physician · Charlottesville, VA

NPI number 1457420085 Active

Practice location

415 Ray C Hunt Dr
Charlottesville, VA 22903-2980

Call (434) 924-5700 Map

Fax (434) 924-1736

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-2980 · (434) 924-0211

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X0101050773 (VA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1457420085

Stephen S. Park's National Provider Identifier is 1457420085, issued on Nov 7, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 19, 2026.