Dr. William Isaiah Park IV
Foot and Ankle Orthopaedic Surgeon
6144 Airport Blvd
Mobile
, Alabama 36608-3143
Dr. William Isaiah Park IV
Foot and Ankle Orthopaedic Surgeon
6144 Airport Blvd
Mobile
, Alabama 36608-3143
(251) 450-2770
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Isaiah Park IV
- Po Box 86144
- Mobile, AL
- Zip : 36689-6144
- Fax : (251) 450-2770
- Phone : (251) 476-5050
Second Address
- Dr. William Isaiah Park IV
- 6144 Airport Blvd
- Mobile, AL
- Zip : 36608-3143
- Fax : (251) 450-2770
- Phone : (251) 476-5050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 00024958 | AL |
National Provider Identifier
| NPI | 1780642710 |
|---|---|
| Provider Name | Dr. William Isaiah Park IV |
| First Address | Mobile, AL 36689-6144 |
| Second Address | Mobile, AL 36608-3143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 20/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0126962 | (05) | MS |
| 051512928 | BCBS (01) | AL |
| 051552744 | (05) | AL |
| 200045417 | RAILROAD MEDICARE (01) | |
| 631187140 | TAX ID (01) | |
| H70025 | (02) |
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.