Darrell King, PA

NPI 1770573644 · on the registry since 2005

Practice

Address: 500 W. Fort Street
Boise Va
Boise, ID 83702
Phone: (208) 422-1136
Fax: (208) 422-1083
Organisation at this address: Vamc
Boise Vamc
Boise Vamc
Boise Va Hospital
Veteran'S Administration Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 685

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho