DARRELL L KING

BOISE, ID
NPI1770573644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA235)
Enumeration Date2005-10-24
Last Update Date2012-02-06
Business Address
-- DARRELL L KING PA
500 W. FORT STREET BOISE VA
BOISE, ID 83702-4501
Phone number: 208-422-1136
Mailing Address
-- DARRELL L KING PA
500 W. FORT STREET BOISE VA
BOISE, ID 83702-4501
Phone number: 208-422-1136
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