Individual
DR. BRENT JAMES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
73776
MN
2085R0202X
Diagnostic Radiology Physician
60839
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
MD61121029
WA
2085R0202X
Diagnostic Radiology Physician
R7248
TX
Other
Enumeration date
06/09/2015
Last updated
10/04/2024
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