Individual
PAUL W MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 N POPLAR AVE, BROKEN ARROW, OK 74012-1438
(918) 812-4731
Mailing address
1605 N POPLAR AVE, BROKEN ARROW, OK 74012-1438
(918) 812-4731
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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