IndividualActive
Jai Park, M.D.
NPI 1013972702 · Spinal Cord Injury Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1013972702
- Entity type
- Individual
- Primary specialty
- Spinal Cord Injury Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 35615 (MO)
Practice location
1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Phone: (314) 652-4100
Mailing address
310 Lincoln St
Waterloo, IL 62298-1613
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2013-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.