Individual
MARTA H KING
Active
Individual
MARTA H KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7163
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10421
BLUE CROSS BLUE SHIELD
MT
05
—
71500
—
MT
Enumeration date
09/01/2006
Last updated
02/22/2008
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