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Individual

DR. ALEXANDER CULLISON KNOBLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., CAQSM, FAAFP

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207Q00000X
Family Medicine Physician
Primary
01076109A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01076109A
IN

Other

Enumeration date
06/30/2014
Last updated
01/09/2026
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