Organization
KNOX FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MATTHEW DYCK M.D. (CEO)
(740) 397-3647
Entity
Organization
Contact information
Practice address
11 WOODLAKE TRL, SUITE A, MOUNT VERNON, OH 43050-8113
(740) 397-3647
(740) 397-0908
Mailing address
11 WOODLAKE TRL, SUITE A, MOUNT VERNON, OH 43050-8113
(740) 397-3647
(740) 397-0908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2558709
—
OH
Enumeration date
07/27/2006
Last updated
08/22/2020
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