Provider Demographics
NPI:1760562516
Name:PARK, DARCI RAE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DARCI
Middle Name:RAE
Last Name:PARK
Suffix:
Gender:F
Credentials:DPM
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Other - Credentials:
Mailing Address - Street 1:7620 E MCKELLIPS RD.
Mailing Address - Street 2:SUITE 4, #225
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257
Mailing Address - Country:US
Mailing Address - Phone:888-495-4489
Mailing Address - Fax:602-325-0169
Practice Address - Street 1:100 BUSH ST
Practice Address - Street 2:SUITE 420
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3902
Practice Address - Country:US
Practice Address - Phone:415-956-2884
Practice Address - Fax:415-956-2662
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2018-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ881213ES0103X
CAE4589213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery