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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN PARK, M.D.

Active

BENJAMIN PARK, M.D. is a 2083A0100X healthcare provider located in WPAFB, Ohio. NPI 1144239740 is currently active in the NPPES registry. Verify at CMS.

2083A0100X · WPAFB, OH

Registration Details

NPI Number
1144239740
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (20.00049799396 yrs)
Last Updated
Jun 9, 2025
Licenses
01062522A (IN)
01062522A (IN)

Practice Information

Address
4881 SUGAR MAPLE DR
WPAFB, OH, 454335529
Browse OH providers · Browse ZIP 45433
Phone
9372554809
Primary Specialty
2083A0100X
2083A0100X
Additional Specialty
2083A0100X

Other 2083A0100X Providers in WPAFB, OH

Name Credential NPI
DR. TORY W WOODARD MD 1548255854
DR. DOUGLAS SCOTT FILES M.D. 1548231426
DR. KRISTIN VOGT MD 1417136177
DAVID NAVEL MD 1285884726
DR. STEVEN THOMAS FOSMIRE D.O. 1558653063
DR. PAUL PUCHTA M.D. 1144592734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.