Individual
JERALD D. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7504
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7504
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
168428-1205
UT
Other
Enumeration date
11/03/2006
Last updated
02/24/2016
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