Most Relevant Information
Provider Data
| NPI Number: | 1003070640 |
| Provider Name: | SUSAN JIN-SUN PARK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207QS0010X |
| Specialty: | Family Medicine |
| License Number: | 13322 |
Most Important Dates
| Enumeration Date: | 07/14/2008 |
| Last Updated: | 06/21/2021 |
Provider Practice Location
661 SIERRA ROSE DR
RENO
NV
89511
Practice Location Phone/Fax
| Phone: | 7759828255 |
| Fax: | 7759828251 |
Provider Mailing Location
1155 MILL ST # MCM14
RENO
NV
895021576
Provider Mailing Phone/Fax
| Phone: | 7759825262 |
| Fax: | 7759823900 |