Organization Name: | DAVIS R KING MD INC. |
NPI Number: | 1093805525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVIS ROLAND KING (ANESTHESIOLOGIST) |
Mailing Address: | 239 Hoohana St Kahului |
State: | HI US |
Postal Code: | 967322452 |
Phone Number: | 8088746877 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 01/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | MD3544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |