NPI 1003070640

Susan Jin-Sun Park, MD

Practitioner Family Medicine Physician Reno, NV

Practice location

Address: 661 Sierra Rose Dr, Reno, NV 89511
Phone: (775) 982-8255
Fax: (775) 982-8251
Mailing address: 1155 Mill St # McM14, Reno, NV 89502-1576

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 13322 (NV)

Other Family Medicine providers in Nevada →

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 13322 (NV)

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence A98140 (CA)

Registry record

NPI: 1003070640
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2008
Record last updated: 21 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.