Individual
JERRY EVERETT KING
Active
Individual
JERRY EVERETT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
30952
AZ
2085R0202X
Diagnostic Radiology Physician
MD00034639
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD08996
OR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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