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Individual

DR. GEORGE F. KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
601 FRONT AVENUE, SUITE #502, COEUR D ALENE, ID 83814
(208) 415-0524
(208) 763-3644
Mailing address
601 FRONT AVENUE, SUITE #502, COEUR D ALENE, ID 83814
(208) 415-0524
(208) 763-3644

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0059243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000548200
ANTHEM-KCR
KY
05
05646300001
FL
05
102104820
PA
05
1043209893
VA
01
14284
BCBS
FL
05
196770501
TX
05
2810855
OH
01
3425385000
PASSPORT ADVANTAGE
KY
01
50017533
PASSPORT-KCR
KY
01
7100028690
KY MEDICAID HEALTH CHOICES
KY
05
711128690
KY
01
91741
SIHO-KCR
KY
Enumeration date
10/14/2005
Last updated
05/22/2009
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