Individual
RANDALL S. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2695
(202) 537-4080
(202) 537-4588
Mailing address
14050 NW 14 STREET, STE 190, FT. LAUDERDALE, FL 33323
(800) 424-3672
(954) 424-3270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
038535
GA
207P00000X
Emergency Medicine Physician
Primary
16326
NV
207P00000X
Emergency Medicine Physician
MD31299
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032391300
—
DC
01
—
44330018
BLUECROSS BLUESHIELD
DC
Enumeration date
12/19/2005
Last updated
12/28/2022
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