NPI 1013972702

Jai S Park, MD

Practitioner Spinal Cord Injury Medicine Physician Saint Louis, MO

Practice location

Address: 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181
Phone: (314) 652-4100
Mailing address: 310 Lincoln St, Waterloo, IL 62298-1613

Registered specialties

Spinal Cord Injury Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P0004X Licence 35615 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Registry record

NPI: 1013972702
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2006
Record last updated: 15 May 2013

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.