| NPI | 1619107398 |
|---|---|
| Doing Business As | KING DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN KING Owner 870-425-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E5875) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-08-24 |