David Michael King, DO | |
3112 Pueblo Sapawe, Santa Fe, NM 87507-2501 | |
(918) 906-8262 | |
Not Available |
Full Name | David Michael King |
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Gender | Male |
Speciality | Pediatrics |
Location | 3112 Pueblo Sapawe, Santa Fe, 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 | 4370 (Oklahoma) | 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 3112 Pueblo Sapawe, Santa Fe, NM 87507-2501 Ph: (918) 906-8262 | David Michael King, DO 3112 Pueblo Sapawe, Santa Fe, NM 87507-2501 Ph: (918) 906-8262 |
Dr. Christopher Miles Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Bandelier Court, Santa Fe, NM 87505 Phone: 505-795-3208 | |
Daniel Agee Coles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-988-9821 | |
Wanicha Buraphacheep-coggins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 S Pacheco St, Nm Doh Family Planning Program, Santa Fe, NM 87505 Phone: 505-476-8870 Fax: 505-476-8898 | |
Dr. Victor Lacerva, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 52 Zambra Way, Santa Fe, NM 87506 Phone: 505-983-4233 | |
Bethany Michelle Carvajal, Pediatrics Medicare: Medicare Enrolled Practice Location: 4801 Beckner Rd, Santa Fe, NM 87507 Phone: 505-772-2000 Fax: 505-772-2645 | |
Dr. Roberto Thaddeus Araiza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 Galisteo St, Santa Fe, NM 87505 Phone: 505-995-4901 Fax: 505-989-6426 | |
Comfort Bonu, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 455 Saint Michaels Dr, St. Vincent Hospitalist Group, Santa Fe, NM 87505 Phone: 505-989-6130 Fax: 505-820-5408 |