Organization
MARK S KING, MD, PA
Active
Organization
MARK S KING, MD, PA
Active
Other names
King Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN KING M.D. (OWNER)
(870) 425-5464
Entity
Organization
Contact information
Practice address
2062 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-7656
(870) 425-5464
(870) 425-5465
Mailing address
PO BOX 763, MOUNTAIN HOME, AR 72654-0763
(870) 425-5464
(870) 425-5465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E5875
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179411002
—
AR
Enumeration date
07/16/2009
Last updated
08/24/2022
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