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Contact Information

CHRISTINE D PARK
2355 FACULTY DR
U.S. AIR FORCE ACADEMY, CO80840-1805
 Phone: 719-333-5187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHRISTINE D PARK · (Female)

NPI # 1326573767
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2017
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102206336
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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