NPI 1073684098
Ivan King, MD
Practice location
- Address
- 360 Broadway, Bangor, ME 04401-3979
- Phone
- (207) 262-1703
- Fax
- (207) 262-1106
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1073684098
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.