Individual
AUSTIN BLAKE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 681-3000
Mailing address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 681-3000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2025022819
MO
Other
Enumeration date
05/02/2017
Last updated
07/04/2025
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