Individual
WILLIAM WALLACE KNOX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
686 N 9TH ST, BOISE, ID 83702-5458
(412) 849-9207
Mailing address
1016 N 8TH ST, BOISE, ID 83702-4217
(412) 849-9207
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-313
ID
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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