Individual
CHARLES S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124-1202
(801) 266-3418
(801) 288-4444
Mailing address
1160 E 3900 S, SUITE 2000, SALT LAKE CITY, UT 84124-1202
(801) 266-3418
(801) 288-4444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100994-1206
UT
Other
Enumeration date
05/24/2006
Last updated
12/20/2021
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