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Individual

MELISSA JANE KNOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
127 S CAROLINE ST, EBENSBURG, PA 15931-1619
(814) 472-4919
(814) 472-4961
Mailing address
127 S CAROLINE ST, EBENSBURG, PA 15931-1619
(814) 472-4919
(814) 472-4961

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC004163R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01552896
PA
Enumeration date
06/22/2005
Last updated
05/14/2014
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