Individual
JENNIFER A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 N SCOTTSDALE RD, STE 347, SCOTTSDALE, AZ 85251-5650
(480) 429-4690
(480) 429-9553
Mailing address
3501 N SCOTTSDALE RD, STE 347, SCOTTSDALE, AZ 85251-5650
(480) 429-4690
(480) 429-9553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865595001
—
AZ
01
—
AZ0755250
BLXBLS OF AZ
AZ
Enumeration date
08/30/2006
Last updated
07/09/2012
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