NPI 1023151685

Dan D Park, DPM

Practitioner Podiatrist Springfield, MO

Practice location

Address: 3231 S National Ave Suite 160, Springfield, MO 65807-7304
Phone: (417) 888-6708
Fax: (417) 890-4143
Mailing address: PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 000787 (MO)

Other Podiatrist providers in Missouri →

Registry record

NPI: 1023151685
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2007
Record last updated: 9 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.