Park, Sara E.Q.

Park, Sara E.Q. is an individual health care provider with primary practice located at 4000 N Central Ave Comprehensive Medical & Dental, Azdcs, Sitecode C041-22, Phoenix AZ 85012-1959. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Park, Sara E.Q. can be contacted via phone (602) 771-3638.

Contact Information

Primary practice address
4000 N Central Ave Comprehensive Medical & Dental, Azdcs, Sitecode C041-22 Phoenix AZ 85012-1959
Phone: (602) 771-3638
Fax: (602) 351-8529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23844 Arizona

Profile Details

NPI number 1790738698
LBN Legal business name Park, Sara E.Q.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790738698 NPPES
Arizona MEDICAID 339491

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