Individual
MR. LUTHER W. KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2175 ROSALINE AVENUE, REDDING, CA 96001-2509
(530) 225-6000
Mailing address
2175 ROSALINE AVENUE, REDDING, CA 96001-2509
(530) 225-6000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14501
STATE OF CALIFORNIA
CA
Enumeration date
09/30/2008
Last updated
09/30/2008
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