Individual
JASMINE L KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
63888
AZ
208000000X
Pediatrics Physician
63888
AZ
Other
Enumeration date
03/27/2015
Last updated
11/03/2021
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