NPI 1104084912

Moon Soo Park, MD

Practitioner Specialist Hilo, HI

Practice location

Address: 33 Lanihuli St, Hilo, HI 96720-4142
Phone: (808) 935-4814
Fax: (808) 935-2518

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2093 (HI)

Other Specialist providers in Hawaii →

Registry record

NPI: 1104084912
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2008
Record last updated: 29 May 2008

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.