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Individual
VERNON D KING JR.
Active
Individual
VERNON D KING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0043453
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128491600
—
MD
01
—
61489901
BLUE SHIELD
MD
01
—
W2270008
GHI
DC
Enumeration date
08/19/2006
Last updated
12/01/2008
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