NPI 1063953321

Dong Hae Park

Practitioner Radiologic Technologist Tacoma, WA

Practice location

Address: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100
Phone: (253) 327-0924

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X

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Registry record

NPI: 1063953321
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2017
Record last updated: 19 Mar 2017

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.