Individual
DR. VICTORIA VAN BEUREN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
113 LATIGO LN, CANON CITY, CO 81212-8114
(719) 371-0000
(719) 372-0505
Mailing address
1210 APPLE LN, PENROSE, CO 81240-9551
(719) 429-0028
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
32334
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323344
—
CO
Enumeration date
08/15/2006
Last updated
01/16/2020
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