Individual
MADELINE L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-8715
(208) 381-8722
Mailing address
520 S EAGLE RD STE 3219, MERIDIAN, ID 83642-6356
(208) 381-8715
(208) 381-8722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1285
ID
Other
Enumeration date
09/14/2015
Last updated
05/12/2026
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