Jerry N King in Albuquerque - Vascular & Interventional Radiology

Jerry N King - NPI 1669476396

Jerry N King is a Vascular & Interventional Radiology in Albuquerque, New Mexico. Jerry N King practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Jerry N King is 1669476396. The last update date is 2014-03-12.

Jerry N King's current location address is 4411 The 25 Way Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5053326900 and fax number 5053326921. The mailing address for Jerry N King is 4411 The 25 Way Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry N King
Address 4411 The 25 Way Ne, Albuquerque, New Mexico
Phone Number 5053326900
Fax Number 5053326921
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1669476396
Provider Enumeration Date 2005-06-10
Last Updated Date 2014-03-12

Provider Mailing Address Detail

Address 4411 The 25 Way Ne
City Albuquerque
State New Mexico (NM)
Post Code 8710958880
Phone Number 5053326900
Fax Number 5053326921

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No 80-52
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45138 NM --
52713 NM --
700521102 NM MEDICARE GROUP
L0634 NM --
2258272 NM MEDICARE GROUP
600521002 NM MEDICARE IDTF
800521126 NM MEDICARE IDTF
9035 NM --

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FAQs about Jerry N King

What is the unique identifier code issued to Jerry N King by the Centers for Medicare & Medicaid Services (CMS)?

The Jerry N King has been assigned the NPI (National Provider Identifier) 1669476396. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jerry N King located?

The Jerry N King is located at 4411 The 25 Way Ne, Albuquerque, NM 8710958880.

What is Jerry N King's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry N King is Vascular & Interventional Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0204X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669476396 to Jerry N King?

The Jerry N King received its 1669476396 assignment from the Centers for Medicare & Medicaid Services on 2005-06-10.

When was the information related to Jerry N King most recently updated or refreshed?

The details pertaining to the Jerry N King, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-12.

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