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Organization
TRIAD CLINIC PLLC
Active
Organization
TRIAD CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KNIGHT NP (PRESIDENT)
(602) 667-4636
Entity
Organization
Contact information
Practice address
4902 W IRONWOOD DR, GLENDALE, AZ 85302-2402
(602) 667-4636
(480) 247-5551
Mailing address
5350 W BELL RD, SUITE C-122-417, GLENDALE, AZ 85308-3906
(602) 667-4636
(480) 247-5551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
3175
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2115
AZ
Other
Enumeration date
09/29/2009
Last updated
11/04/2010
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