Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 3770 | OK |
NPI | 1225090558 |
---|---|
Provider Name | Dr. Steven Duane King |
First Address | Oklahoma City, OK 73134-1785 |
Second Address | Edmond, OK 73013-5043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 20/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H25452 | (02) | OK |