Individual
MARK KNOBLAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3326 N 3RD AVE STE 201, PHOENIX, AZ 85013-4336
(602) 625-7944
(602) 895-7576
Mailing address
3326 N 3RD AVE STE 201, PHOENIX, AZ 85013-4336
(602) 625-7944
(602) 865-7576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
276844
AZ
Other
Enumeration date
06/23/2022
Last updated
12/20/2023
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