IndividualActive
Jae Yoon Park, MD
NPI 1962798397 · Interventional Cardiology Physician · Tucson, AZ
Provider details
- NPI number
- 1962798397
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 55416 (MN)
Practice location
4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone: (520) 838-3540
Fax: (520) 318-0104
Mailing address
555 E River Rd Ste 101
Tucson, AZ 85704-5843
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.