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Individual

ROBERT MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6001
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21754
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020305
WA
Enumeration date
03/09/2006
Last updated
12/13/2012
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