THOMAS PARK

Family Medicine

Active Individual
NPI: 1073253639

Practice Address

60 MACLAINE WAY
Shepherdstown, WV 25443

Phone: (304) 876-6343

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 35168 (WV)

Frequently Asked Questions

NPI 1073253639 is the National Provider Identifier for THOMAS PARK, a Family Medicine provider located in Shepherdstown, WV. This NPI was enumerated on March 31, 2022.
THOMAS PARK practices at 60 MACLAINE WAY, Shepherdstown, WV 25443.

Quick Facts

NPI
1073253639
Type
Individual
Enumerated
Mar 31, 2022
Last Updated
Oct 1, 2025

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