Individual
JONATHAN S KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
Mailing address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M9264
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083729438
OSSM ORGANIZATION LINKED TO THIS NPI
—
05
—
807235300
—
ID
01
—
DF003
RAILROAD MEDICARE
ID
Enumeration date
09/23/2005
Last updated
03/11/2025
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