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Search › Arizona › 183500000X

Grace Park

NPI 1730739152 · on the registry since 2019 · sole proprietor

Practice

Address
1625 N Campbell Ave
Tucson, AZ 85719
Phone
(520) 694-0111
Organisation at this address
Kara Brock Dpm Llc
Banner Telehealth Llc
Banner Pharmacy Services Llc
Banner - University Medical Center Tucson Campus Llc
Banner - University Medical Center Tucson Campus Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
637

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
OK, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona