TAE S PARK

WASHINGTON UNIVERSITY

Dr TAE S PARK is a male medical professional, specializing in Neurosurgery. He graduated in 1971.

Contact

WASHINGTON UNIVERSITY

1 CHILDRENS PL A
SAINT LOUIS
MO
631101002

Tel: 3144546000

TAE S PARK Information

Npi 1376560805
Pac Id 5597813394
Professional Enrollment Id I20090505000452
Last Name PARK
First Name TAE
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1971
Primary Specialty NEUROSURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WASHINGTON UNIVERSITY
Group Practice Pac Id 9830008770
Number Of Group Practice Members 2035
Line 1 Street Address 1 CHILDRENS PL A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT LOUIS
State MO
Zip Code 631101002
Phone Number 3144546000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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