Individual
DR. MARK RODNEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2867 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 212-4770
(703) 212-4877
Mailing address
PO BOX 22245, ALEXANDRIA, VA 22304-9224
(703) 212-4770
(703) 212-4877
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0102050164
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010155622
—
VA
Enumeration date
08/18/2005
Last updated
01/05/2010
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