Dr. Andrew Joon Park
Physical Medicine & Rehabilitation Doctor
3425 S Clarkson St
Englewood
, Colorado 80113-2811
Dr. Andrew Joon Park
Physical Medicine & Rehabilitation Doctor
3425 S Clarkson St
Englewood
, Colorado 80113-2811
(303) 789-8220
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Andrew Joon Park
- 3425 S Clarkson St
- Englewood, CO
- Zip : 80113-2899
- Phone : (303) 789-8220
Second Address
- Dr. Andrew Joon Park
- 3425 S Clarkson St
- Englewood, CO
- Zip : 80113-2811
- Phone : (303) 789-8220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | DR.0059534 | CO |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | TL.0006653 | CO |
National Provider Identifier
| NPI | 1043661770 |
|---|---|
| Provider Name | Dr. Andrew Joon Park |
| First Address | Englewood, CO 80113-2899 |
| Second Address | Englewood, CO 80113-2811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2016 |
| Last Update Date | 26/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043661770 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.