JONATHAN S KING MD PC NPI 1821101023

NPI Information

JONATHAN S KING MD PC is a specialist in Coeur D Alene, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JONATHAN S KING MD PC NPI is 1821101023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1107 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814-604
Phone: (208) 667-7459
Fax: (208) 667-2631

The provider's authorized official is Jonathan S King .
The authorized official title is Physician and has the following contact phone number (208) 667-7459.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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