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Organization

JAMES D KING

Active
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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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