Individual
DUSTIN W KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(951) 719-0789
Mailing address
2112 HAMILTON ST, NORTH BEND, OR 97459-2704
(951) 719-0789
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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