NPI 1013113208

Frederick Park, MDPHD

Practitioner Gastroenterology Physician Renton, WA

Practice location

Address: 4011 Talbot Rd S STE 500, Renton, WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7380
Mailing address: PO Box 59028, Renton, WA 98058-2028

Registered specialties (2)

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 60653608 (WA)

Other Internal Medicine providers in Washington →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence A106773 (CA)

Registry record

NPI: 1013113208
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2007
Record last updated: 14 Nov 2016

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.