Whalio Doctors

NPI 1225171911

Ronald J Pak, MD

Practitioner Physical Medicine & Rehabilitation Physician Springfield, MO

Practice location

Address
1235 E Cherokee St, Springfield, MO 65804-2203
Phone
(417) 820-2364
Fax
(417) 820-7136
Mailing address
PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 109763 (MO)

Registry record

NPI
1225171911
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Feb 2007
Record last updated
3 Oct 2014

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.