Individual
MARK WAYNE KNESTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 JOHNSON RD STE 10, WASHINGTON, PA 15301-8944
(724) 223-3816
(724) 223-4079
Mailing address
470 JOHNSON RD STE 10, WASHINGTON, PA 15301-8944
(724) 223-3816
(724) 223-4079
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD474898
PA
207RX0202X
Medical Oncology Physician
0101260907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447576673
—
VA
Enumeration date
04/13/2010
Last updated
09/07/2023
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