Individual
THOMAS R KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Mailing address
11125 DUNN RD, STE 204, SAINT LOUIS, MO 63136-6132
(314) 839-5522
(314) 839-5351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R7F82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013834
ESSENCE
—
01
—
060067901
ILRRMCR
IL
01
—
060067902
MORRMCR
MO
01
—
123148
HLNK
—
01
—
1955V3831
GHP/CMR
—
01
—
20502
MOBS/BLCHOICE
MO
05
—
206707606
—
MO
01
—
2500128
UNC
—
01
—
3156370
CIGNA
—
01
—
42693V30946
HLTHPART
—
01
—
431098908
TRICARE
—
01
—
4334049
AETNA
—
01
—
6327V8816
HCUSA
—
01
—
E36005
MERCY
—
01
—
O21267
JFMOLLOY/FMH
—
Enumeration date
08/25/2005
Last updated
12/02/2021
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