Individual
DR. JUSTIN MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 SUMMIT BLVD, SUITE 204, BROOMFIELD, CO 80021-8294
(303) 619-3527
Mailing address
403 SUMMIT BLVD, SUITE 204, BROOMFIELD, CO 80021-8252
(303) 619-3527
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
47905
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194619601
—
TX
Enumeration date
12/12/2007
Last updated
05/01/2017
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