Individual
SCOTT D KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034-1904
(618) 288-4388
Mailing address
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034-1904
(618) 288-4388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085000439
IL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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