Individual
MR. ELIJHA DAVID KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
311 S CRAIG ST, SUITE 1A, PITTSBURGH, PA 15213-3734
(412) 621-2523
Mailing address
311 S CRAIG ST, SUITE 1A, PITTSBURGH, PA 15213-3734
(412) 621-2523
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
02142912
PA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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