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Individual

DR. HARRY J. KNOWLES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-2626
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G38697
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G386970
CA
01
300021978
RAILROAD MEDICARE
01
300055292
RAILROAD MEDICARE
Enumeration date
03/29/2006
Last updated
06/25/2009
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