| 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 | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Southwest Care Center |
|---|---|
| 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 | |
Amelia Brooks Kreienkamp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Spruce St, Espanola, NM 87532 Phone: 505-753-7111 |