| Dr Jewel Park, MD | |
|
1701 N 13th St, Shelton, WA 98584-2077 | |
| (360) 426-2653 | |
| Not Available |
| Full Name | Dr Jewel Park |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1701 N 13th St, Shelton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780325381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD61606820 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jewel Park, MD 1701 N 13th St, Shelton, WA 98584-2077 Ph: (360) 426-2653 | Dr Jewel Park, MD 1701 N 13th St, Shelton, WA 98584-2077 Ph: (360) 426-2653 |
Alexandra Danae Rhodes, Pediatrics Medicare: Medicare Enrolled Practice Location: 247 Professional Way, Shelton, WA 98584 Phone: 360-426-3102 | |
Dr. Ezekiel Derek Alexander Melquist, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0681 | |
Roseann Rayos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 |