NPI 1275534919

Roy J Park, MD

Practitioner Ophthalmology Physician Puyallup, WA

Practice location

Address: 1703 S Meridian STE 101, Puyallup, WA 98371-7590
Phone: (253) 848-3000
Fax: (253) 840-6514

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD00048909 (WA)

Other Ophthalmology providers in Washington →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 25MA07382200 (NJ)

Registry record

NPI: 1275534919
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2005
Record last updated: 21 Jul 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.