Organization Name: | MICHAEL J KING DPM |
NPI Number: | 1003967894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J KING (OWNER) |
Mailing Address: | 222 Milliken Blvd Fall River |
State: | MA US |
Postal Code: | 027211623 |
Phone Number: | 5086795700 |
Fax Number: | 5086797759 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |