Organization
PHILIP KING, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP KING MD (OWNER)
(425) 453-8406
Entity
Organization
Contact information
Practice address
2015 116TH AVE NE, SUITE B, BELLEVUE, WA 98004-3031
(425) 453-8406
(425) 453-4173
Mailing address
2015 116TH AVE NE, SUITE B, BELLEVUE, WA 98004-3018
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238679
RR MEDICARE
WA
05
—
1116425
—
WA
Enumeration date
07/23/2006
Last updated
09/19/2011
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