DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. CHRISTINE JEEWAN PARK MD

MEDICARE: DR. CHRISTINE JEEWAN PARK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician2025036642MO

General Provider Information

NPI Number : 1154062578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE JEEWAN PARK MD
Provider Business Mailing Address
First Line : 1465 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-577-5634
Fax Number : 636-465-9512
Provider Business Practice Location Address
First Line : 1275 N TRUMAN BLVD
Second Line :
City : FESTUS
State : MO
Zip : 63028-1176
Country : US
Telephone Number : 844-853-8937
Fax Number : 636-465-9512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 10/31/2025

Similar Medicare Providers

1578270393 — JENNIFER DAWN KEEN LMSW
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 844-853-8937
Practice Fax: 660-885-3690
1790808061 — MR. RYAN EUGENE BUTLER RPH
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 636-937-4686
Practice Fax:
1497235659 — AMBER SUE GRAY LMSW
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 844-853-8937
Practice Fax:
1942785704 — SCHNUCK MARKETS INC
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 636-937-4686
Practice Fax: 636-937-1432
1720741358 — DR. THERESA OSBORNE OD
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 844-853-8937
Practice Fax:
1376282764 — KELLY JILL DOUGHERTY MD
Practice Location Address:
1275 N TRUMAN BLVD
FESTUS, MO
63028-1176
Practice Phone: 844-853-8937
Practice Fax: 636-465-9512

Directions to “ DR. CHRISTINE JEEWAN PARK MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.