# DR. JAMES DOUGHERTY KING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720058019
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01628 | IA | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 02/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1720058019 | — | IA |
| 05 | — | 4159285 | — | IA |
| 01 | — | P00306826 | RR MEDICARE | IA |