Dr Sung Eun Park, MD in Coeur D'alene, ID - Pediatrics

Dr Sung Eun Park, MD is a Pediatrics physician based in Coeur D'alene, Idaho. Dr Sung Eun Park is licensed to practice in Idaho (license number M11886) and his current practice location is 980 W. Ironwood Drive, Suite 302, Coeur D'alene, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 292-5437.

NPI number for Dr Sung Eun Park is 1215103171 and his current mailing address is 980 W. Ironwood Drive, Suite 302, Coeur D'alene, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215103171.

Contact Information

	Dr Sung Eun Park, MD
	980 W. Ironwood Drive, Suite 302, Coeur D'alene, ID 83814
	(208) 292-5437
	(208) 292-5441

Physician's Profile

Full Name	Dr Sung Eun Park
Gender	Male
Speciality	Pediatrics
Location	980 W. Ironwood Drive, Coeur D'alene, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215103171
Provider Enumeration Date: 05/01/2008
Last Update Date: 06/19/2013

Medical Identifiers

Medical identifiers for Dr Sung Eun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215103171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	6353386-1205 (Utah)	Secondary
208000000X	Pediatrics	036120274 (Illinois)	Secondary
208000000X	Pediatrics	M11886 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sung Eun Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sung Eun Park, MD 980 W. Ironwood Drive, Suite 302, Coeur D'alene, ID 83814 Ph: (208) 292-5437	Dr Sung Eun Park, MD 980 W. Ironwood Drive, Suite 302, Coeur D'alene, ID 83814 Ph: (208) 292-5437

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Dr Sung Eun Park, MD - Pediatrics in Coeur D'alene, ID