Organization
JAMES D KING
Active
Other names
ZIA ANESTHESIA SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D KING CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
2301 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4611
(573) 686-5550
(573) 686-2139
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28228
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093773
—
NM
01
—
177768600
DOL
NM
01
—
430050356
RAILROAD MEDICARE
NM
05
—
93773
—
NM
01
—
NM006068
NM BCBS
NM
Enumeration date
12/17/2007
Last updated
06/26/2008
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