NPI 1255727889
Jae Hyung Park
Practice location
- Address
- 13203 N 103rd Ave STE H5, Sun City, AZ 85351-3032
- Phone
- (623) 777-4747
- Mailing address
- 5281 N 99th Ave STE 100, Glendale, AZ 85305-2209
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1255727889
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Apr 2015
- Record last updated
- 13 Sep 2024
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.