Individual
RICHARD M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3985 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-6764
(216) 283-4494
(216) 283-2351
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35043622
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35043622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402586
—
OH
01
—
P00067727
RR MEDICARE
OH
Enumeration date
10/18/2005
Last updated
03/18/2009
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