Individual
MRS. NATASHA RENEE KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3048 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73159-6385
(405) 703-1359
Mailing address
PO BOX 6424, NORMAN, OK 73070-6424
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4422
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247850A
—
OK
Enumeration date
04/29/2009
Last updated
11/08/2013
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