Individual
JOHN KNIPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-7106
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
43594
AZ
207W00000X
Ophthalmology Physician
MD 60101796
WA
207W00000X
Ophthalmology Physician
MD2011-0502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26720787
—
NM
05
—
540872
—
AZ
Enumeration date
09/24/2007
Last updated
04/30/2019
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