Organization
JON A KING MD FACS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON A KING M.D. (PRESIDENT)
(623) 936-5406
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD, SUITE 250, PHOENIX, AZ 85037-3328
(623) 936-5406
(623) 936-5479
Mailing address
9305 W THOMAS RD, SUITE 250, PHOENIX, AZ 85037-3328
(623) 936-5406
(623) 936-5479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25175
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387052
—
AZ
Enumeration date
12/07/2006
Last updated
11/24/2007
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