Organization
BROCK K. KING MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY J ROONEY (OFFICE MANAGER)
(501) 327-4828
Entity
Organization
Contact information
Practice address
525 WESTERN AVE, SUITE 203, CONWAY, AR 72034-4967
(501) 327-4828
(501) 327-6899
Mailing address
525 WESTERN AVE, SUITE 203, CONWAY, AR 72034-4967
(501) 327-4828
(501) 327-6899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2394
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140135001
—
AR
Enumeration date
12/21/2009
Last updated
12/21/2009
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