Individual
PATRICK M KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5040 N 15TH AVE, SUITE 202, PHOENIX, AZ 85015-3328
(602) 248-0123
(602) 248-8506
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31722
AZ
207Q00000X
Family Medicine Physician
42670
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377195400
—
MN
Enumeration date
08/15/2005
Last updated
09/25/2013
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