MEDICARE: JENNIFER A KING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	31525	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0755250	OTHER	AZ	BLXBLS OF AZ
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518076611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A KING MD

Provider Business Mailing Address
First Line	:	3501 N SCOTTSDALE RD
Second Line	:	STE 347
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5650
Country	:	US
Telephone Number	:	480-429-4690
Fax Number	:	480-429-9553

Provider Business Practice Location Address
First Line	:	3501 N SCOTTSDALE RD
Second Line	:	STE 347
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5650
Country	:	US
Telephone Number	:	480-429-4690
Fax Number	:	480-429-9553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/09/2012

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Directions to “ JENNIFER A KING MD” Practice Location

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