Individual
MRS. ROSEMARY MARGARET KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1755 S GRAND, ST LOUIS, MO 63104
(314) 256-3400
(314) 256-3431
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2002006512
MO
Other
Enumeration date
04/05/2006
Last updated
01/09/2008
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