Individual
DR. BRUCE R. KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3114 LAKE ST, LAKE CHARLES, LA 70601-8338
(337) 562-0696
(337) 474-1378
Mailing address
3114 LAKE ST, LAKE CHARLES, LA 70601-8338
(337) 562-0696
(337) 474-1378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
09838R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05583595
—
MS
05
—
1972053
—
LA
05
—
243024
—
OR
Enumeration date
05/26/2006
Last updated
03/16/2015
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