Individual
ROBERT KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 224-4325
(540) 224-4399
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
0101058403
VA
208600000X
Surgery Physician
Primary
0101058403
VA
208600000X
Surgery Physician
15835
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002960301
MEDICARE PTAN
NH
05
—
3077483
—
NH
Enumeration date
07/08/2005
Last updated
08/23/2022
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