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Organization
MOUNTAIN MEDICAL OF WATERTOWN
Active
Organization
MOUNTAIN MEDICAL OF WATERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A KNOWLES PA (PA)
(315) 779-2273
Entity
Organization
Contact information
Practice address
457 GAFFNEY DR, WATERTOWN, NY 13601
(315) 779-2273
(315) 779-2274
Mailing address
457 GAFFNEY DR, WATERTOWN, NY 13601
(315) 779-2273
(315) 779-2274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001608-1
NY
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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