| Ben H Park, MD | |
| 
					1310 S Lebanon St, Lebanon, IN 46052-2792  | |
| (765) 482-7005 | |
| Not Available | 
| Full Name | Ben H Park | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1310 S Lebanon St, Lebanon, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841377702 | NPI | - | NPPES | 
| 100063190 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 01027843 (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ben H Park, MD 1310 S Lebanon St, Lebanon, IN 46052-2792 Ph: (765) 482-7005  | Ben H Park, MD 1310 S Lebanon St, Lebanon, IN 46052-2792 Ph: (765) 482-7005  | 
Emma Joy Nordstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 300, Lebanon, IN 46052 Phone: 765-485-8649 Fax: 765-485-8650  | |
Mojgan Sarmadi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 W Camp St, Lebanon, IN 46052 Phone: 765-482-7005  | |
Dr. Nicole C. Clark, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 300, Lebanon, IN 46052 Phone: 765-485-8649 Fax: 765-485-8650  | |
Dr. Ashleigh Tharp, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2705 N Lebanon St Ste 300, Lebanon, IN 46052 Phone: 765-485-8649 Fax: 765-485-8650  | |
James Anthony Boudreau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 N Lebanon St Ste 300, Lebanon, IN 46052 Phone: 765-485-8649 Fax: 765-485-8650  | |
Patrick Doolan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 W Camp St, Lebanon, IN 46052 Phone: 765-482-7005 Fax: 765-483-3021  | |
Dr. John Jacob Saalwaechter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 W Camp St, Lebanon, IN 46052 Phone: 765-482-7005 Fax: 765-483-3023  |