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Individual

JONATHAN RANDOLPH KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
775 POLE LINE RD W, SUITE 312, TWIN FALLS, ID 83301-5814
(208) 814-8600
(208) 814-8942
Mailing address
775 POLE LINE RD W, SUITE 312, TWIN FALLS, ID 83301-5814
(208) 814-8600
(208) 814-8942

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13567339-1204
UT
207R00000X
Internal Medicine Physician
Primary
O-1035
ID

Other

Enumeration date
04/09/2014
Last updated
10/25/2023
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