Organization
KING AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE KING MD (OWNER)
(541) 292-6464
Entity
Organization
Contact information
Practice address
585 MURPHY RD, MEDFORD, OR 97504-8128
(541) 292-6464
(458) 225-9821
Mailing address
585 MURPHY RD, MEDFORD, OR 97504-8128
(541) 292-6464
(458) 225-9821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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