Provider Demographics
NPI:1740438183
Name:PARK, ELIZABETH ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ARNOLD
Last Name:PARK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-415-1660
Mailing Address - Fax:251-415-1016
Practice Address - Street 1:1700 CENTER ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3301
Practice Address - Country:US
Practice Address - Phone:251-415-1660
Practice Address - Fax:251-415-7468
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1179542085R0202X
AL289372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology