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

SE HUN PARK, ATC

Active

SE HUN PARK, ATC is a Physician Assistant healthcare provider located in LAWTON, Oklahoma. NPI 1356717789 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAWTON, OK

Registration Details

NPI Number
1356717789
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2015 (10.973503635272 yrs)
Last Updated
Dec 20, 2024
License
2015022932 (MO)

Practice Information

Address
3401 W GORE BLVD
LAWTON, OK, 735056332
Browse OK providers · Browse ZIP 73505
Phone
5803558620
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LAWTON, OK

Name Credential NPI
MR. THOMAS LEE MILLS PHYSICIAN ASSISTANT 1033116363
LONNIE SCHOLL PA-C 1043264575
SHERRYL A. EVANS PA 1144232570
LEONARD SIMS MCNEIL P.A. 1598830200
MR. JESSE LEE GOODMAN PA-C 1699843342
ADAM M WEAVER PA-C 1982928917
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.