David Michael King, DO | |
1010 Spruce St, Espanola, NM 87532-2724 | |
(505) 367-0346 | |
Not Available |
Full Name | David Michael King |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1010 Spruce St, Espanola, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306039276 | NPI | - | NPPES |
200122440B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A-2098-17 (New Mexico) | Primary |
Entity Name | Southwest Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871602698 PECOS PAC ID: 8921043035 Enrollment ID: O20050620000992 |
Mailing Address | Practice Location Address |
---|---|
David Michael King, DO Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (918) 906-8262 | David Michael King, DO 1010 Spruce St, Espanola, NM 87532-2724 Ph: (505) 367-0346 |
Dr. Margaret Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Paseo De Onate, Espanola, NM 87532 Phone: 505-231-0652 | |
Rebecca Jane Wallig, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-367-0340 | |
Chelsea D Kirby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Multispecialty Clinic, Espanola, NM 87532 Phone: 505-753-8031 Fax: 505-753-7433 | |
Dr. Julian R. Benavidez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 | |
James Lewis Mcneil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Locum Tenens, Espanola, NM 87532 Phone: 505-367-0361 Fax: 505-367-0320 | |
Amelia Brooks Kreienkamp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 |