Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eun Soo David Park, MD

Individual provider Family Medicine Physician · NPI 1407205743

Dr. Eun Soo David Park, MD is a Family Practice in Tucson, Arizona. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4175 S Alamo Ave
Tucson, AZ 85707-4402
Phone: (520) 228-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 N Wilmot Rd Ste 301, Tucson, AZ 85711-2628 — (520) 771-6675

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301116860 (MI)

Record details

NPI number1407205743
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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