Individual
TAMMY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 CLERMONT ST, DENVER, CO 80220-3813
(303) 202-7965
Mailing address
2028 KNOX HIGHWAY 1, GALESBURG, IL 61401-8846
(309) 351-1168
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
337467
IL
2471C3401X
Computed Tomography Radiologic Technologist
Primary
500481757
IL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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