Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM ISAIAH PARK IV, MD
ActiveDR. WILLIAM ISAIAH PARK IV, MD is a Sports Medicine (Orthopaedic) healthcare provider located in DAPHNE, Alabama. NPI 1780642710 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · DAPHNE, AL
Registration Details
- NPI Number
- 1780642710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (20.33029259437 yrs)
- Last Updated
- Aug 23, 2023
- License
-
00024958 (AL)
Practice Information
- Address
-
1505 DAPHNE AVEDAPHNE, AL, 365264298Browse AL providers · Browse ZIP 36526
- Phone
- 2516252663
- Fax
- 2516253198
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
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.