Individual
DR. MICHAEL DAVID BOUKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3012 BUTCHERS LN, EAST NORRITON, PA 19401-1516
(402) 204-1517
Mailing address
3012 BUTCHERS LN, EAST NORRITON, PA 19401-1516
(610) 506-3979
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD067370Y
PA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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