NPI 1689109191

Austin Park, MD

Practitioner Dermatology Physician Fpo, AP

Practice location

Address: Psc 475 Box 1, Fpo, AP 96350-1200
Phone: (315) 243-7442

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 31013 (NE)

Other Dermatology providers in Armed Forces Pacific →

Registry record

NPI: 1689109191
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2017
Record last updated: 28 May 2025

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.