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1558358242
HALIFAX C KING
SCOTT AFB, IL
NPI
1558358242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: DC MD13237)
Enumeration Date
2005-09-29
Last Update Date
2007-07-08
Business Address
Dr. HALIFAX C KING M.D.
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7456
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Mailing Address
Dr. HALIFAX C KING M.D.
185 POW MIA DR
SCOTT AFB, IL 62225-1759
Phone number: 618-256-7456
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