Individual
DOMINIC M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7010 ENGLE RD, CLEVELAND, OH 44130-8401
(440) 260-3731
(440) 239-0979
Mailing address
9500 EUCLID AVE # DESKA4, CLEVELAND, OH 44195-0001
(216) 444-8960
(440) 239-0979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58.004005
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
3401178
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
3401178
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133672
—
OH
Enumeration date
03/21/2011
Last updated
03/07/2023
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