Individual
DR. BYRON ANDREW KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(916) 454-7533
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A152031
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2016
Last updated
06/28/2021
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