Individual
MR. CHARLES RUSSELL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
52 MARION ST, CUMBERLAND, MD 21502-2548
(301) 707-0982
(301) 724-5050
Mailing address
725 PARK ST, SUITE 252, CUMBERLAND, MD 21502-3172
(301) 707-0982
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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