IndividualActive
John Park, MD
NPI 1316936115 · Otolaryngic Allergy Physician · Chesterfield, MO
Provider details
- NPI number
- 1316936115
- Entity type
- Individual
- Primary specialty
- Otolaryngic Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 108562 (MO)
Practice location
226 S Woods Mill Rd
Ste 37w
Chesterfield, MO 63017-3662
Phone: (314) 523-5300
Fax: (314) 434-3191
Mailing address
Po Box 14369
Saint Louis, MO 63178-4369
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.