Darrell L King in Boise - Physician Assistant
Darrell L King - NPI 1770573644
Darrell L King is a Physician Assistant in Boise, Idaho. Darrell L King practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darrell L King is 1770573644. The last update date is 2012-02-06.
Darrell L King's current location address is 500 W. Fort Street, Boise, Idaho. You can contact this provider via phone number 2084221136 and fax number 2084221083. The mailing address for Darrell L King is 500 W. Fort Street, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell L King |
|---|---|
| Address | 500 W. Fort Street, Boise, Idaho |
| Phone Number | 2084221136 |
| Fax Number | 2084221083 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1770573644 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2012-02-06 |
Provider Mailing Address Detail
| Address | 500 W. Fort Street |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837024501 |
| Phone Number | 2084221136 |
| Fax Number | 2084221083 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA235 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970029609 | ID | RR MEDICARE | |
| 10141117 | ID | BCBS | |
| PADA5 | ID | BCBS | |
| 10141122 | ID | BCBS | |
| PADB3 | ID | BCBS | |
| 805341400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Darrell L King by the Centers for Medicare & Medicaid Services (CMS)?
The Darrell L King has been assigned the NPI (National Provider Identifier) 1770573644. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Darrell L King located?
The Darrell L King is located at 500 W. Fort Street, Boise, ID 837024501.
What is the area of specialization for Darrell L King, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Darrell L King is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Darrell L King's 1770573644 issued?
The Darrell L King's 1770573644 was issued on 2005-10-24.
When was the Darrell L King's information last updated?
The Darrell L King's information was last updated on 2012-02-06.