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Individual

JOHN WILLIAM KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 KINGS HWY, DEPARTMENT OF MEDICINE INF DISEASES, SHREVEPORT, LA 71103-4228
(318) 675-5900
(318) 675-5907
Mailing address
1501 KINGS HWY, DEPARTMENT OF MEDICINE INF DISEASES, SHREVEPORT, LA 71103-4228
(318) 675-5900
(318) 675-5907

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
011870
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1182460
LA
Enumeration date
07/24/2006
Last updated
06/19/2008
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