IndividualActive
Benjamin Park, M.D.
NPI 1144239740 · Aerospace Medicine Physician · Wpafb, OH
Provider details
- NPI number
- 1144239740
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01062522A (IN)
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.