Organization
THE OTHER MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDA L KNIGHT MD FACP (THE OTHER MEDICAL CLINIC PLC EMPLOY)
(641) 842-3700
Entity
Organization
Contact information
Practice address
410 E ROBINSON ST, B2, KNOXVILLE, IA 50138-2058
(641) 842-3700
(641) 842-3363
Mailing address
410 E ROBINSON ST, B2, KNOXVILLE, IA 50138-2058
(641) 842-3700
(641) 842-3363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05986
BLUE CROSS
IA
01
—
1871550723
DR KNIGHT NPI
IA
05
—
6188037
—
IA
Enumeration date
11/29/2006
Last updated
02/06/2008
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