Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SI-MIN PARK, MD
ActiveSI-MIN PARK, MD is a 1744R1102X healthcare provider located in SAINT LOUIS, Missouri. NPI 1144977463 is currently active in the NPPES registry. Verify at CMS.
1744R1102X · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1144977463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2022 (4.3980160750453 yrs)
- Last Updated
- Mar 9, 2022
Practice Information
- Address
-
1465 S GRAND BLVDSAINT LOUIS, MO, 631041003Browse MO providers · Browse ZIP 63104
- Phone
- 3145775600
- Primary Specialty
-
1744R1102X
1744R1102X
Other 1744R1102X Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MS. MARY MARGARET (PEGGY DONOVAN | R.N., MSN | 1356677173 |
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.