Individual
DR. PAUL D. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141-8221
(314) 251-2880
Mailing address
615 S NEW BALLAS RD STE 1200, SAINT LOUIS, MO 63141-8221
(314) 251-2880
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
22349
MS
207RG0100X
Gastroenterology Physician
49489
TN
207RG0100X
Gastroenterology Physician
Primary
R1647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1732416
FIRST HEALTH
MS
01
—
194002
BLUE CROSS BLUE SHIELD
MO
01
—
201191032
TRICARE
MO
01
—
228719
GROUP HEALTH PLANS
MO
01
—
3089254005
CIGNA
MO
01
—
4206923
AETNA
MO
01
—
514183
PRIVATE HEALTHCARE SYSTEM
MO
01
—
6326V54782
HEALTHCARE USA
MO
Enumeration date
06/23/2005
Last updated
10/24/2023
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