Provider Demographics
NPI:1699831297
Name:KING, MARGARET L (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8930
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-0132
Mailing Address - Country:US
Mailing Address - Phone:623-544-4667
Mailing Address - Fax:623-544-4668
Practice Address - Street 1:40 N CENTRAL AVE STE 775
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-4413
Practice Address - Country:US
Practice Address - Phone:602-889-5830
Practice Address - Fax:602-889-5831
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2018-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ25970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH06279Medicare UPIN