Individual
JUSTIN ROSSEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE STE 5200, CINCINNATI, OH 45219-4222
(513) 558-3700
(513) 475-8247
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01083614A
IN
2086S0129X
Vascular Surgery Physician
Primary
35.150936
OH
390200000X
Student in an Organized Health Care Education/Training Program
11019205A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301109885
MI
Other
Enumeration date
05/02/2016
Last updated
05/14/2024
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