Individual
MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 964-3100
Mailing address
370 E SOUTH TEMPLE, STE 260, SALT LAKE CITY, UT 84111-1206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104534-1206
UT
Other
Enumeration date
03/30/2006
Last updated
09/05/2007
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