Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK E KING, PA
ActiveMARK E KING, PA is a Medical Physician Assistant healthcare provider located in RUIDOSO, New Mexico. NPI 1457442691 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RUIDOSO, NM
Registration Details
- NPI Number
- 1457442691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2006 (19.88370373254 yrs)
- Last Updated
- Apr 3, 2012
- Licenses
-
10003262 (WA)95-PA19 (NM)
Practice Information
- Address
-
1401 SUDDERTH DRRUIDOSO, NM, 883456104Browse NM providers · Browse ZIP 88345
- Phone
- 5752577712
- Fax
- 5752574513
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.