Individual
AUGUST DANIEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Mailing address
605 S. COOLIDGE STREET, MOSES LAKE, WA 98837-1863
(509) 765-0674
(509) 765-6591
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD60142503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263877
L & I
WA
05
—
2007273
—
WA
Enumeration date
08/19/2005
Last updated
05/15/2014
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