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Individual

DR. RONALD L KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5544 GREENWICH RD, STE.200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
PO BOX 41115, NORFOLK, VA 23541-1115
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101017969
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101017969
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139178
BCBS
VA
01
15892
SENTARA
VA
01
300107386
RR MEDICARE
VA
05
7298862
VA
05
7905600
NC
Enumeration date
12/20/2005
Last updated
03/07/2011
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