| Soo Jung Park, PA-C | |
|
24430 Stone Springs Blvd Suite 275, Dulles, VA 20166-2270 | |
| (703) 858-3220 | |
| Not Available |
| Full Name | Soo Jung Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 24430 Stone Springs Blvd Suite 275, Dulles, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225836844 | NPI | - | NPPES |
| 30018274670001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0110010844 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Soo Jung Park, PA-C 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Soo Jung Park, PA-C 24430 Stone Springs Blvd Suite 275, Dulles, VA 20166-2270 Ph: (703) 858-3220 |
Ms. Cathalene Blake Christian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44330 Mercure Ci., Suite 240, Dulles, VA 20166 Phone: 571-232-8601 Fax: 202-444-2130 | |
Bonnie Marie Paine, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 515, Dulles, VA 20166 Phone: 571-385-1221 Fax: 800-223-4063 | |
Ms. Prabhjot Kaur, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166 Phone: 703-766-5040 | |
Jason David Edginton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2210 Kigali Pl, Dulles, VA 20189 Phone: 202-663-3604 | |
Shane C Pierce, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Harare Pl, Dulles, VA 20189 Phone: 202-663-2453 | |
Susan Tang, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6050 Amman Pl, Dulles, VA 20189 Phone: 000-000-0000 |