Individual
DAVID MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0346
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(918) 906-8262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A-2098-17
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200122440B
—
OK
Enumeration date
08/23/2007
Last updated
08/19/2024
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