Individual
COURTNEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4702 STARBUCK AVE, SANTA ROSA, CA 95409
(707) 407-9071
Mailing address
122 CALISTOGA RD STE 620, SANTA ROSA, CA 95409-3702
(707) 407-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A133018
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2011
Last updated
06/13/2018
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