Organization
ADVANTAGE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS KNOX M.D. (MEDICAL DIRECTOR)
(785) 749-0130
Entity
Organization
Contact information
Practice address
1104 E 23RD ST, LAWRENCE, KS 66046-5004
(785) 749-0130
(785) 749-0132
Mailing address
1104 E 23RD ST, LAWRENCE, KS 66046-5004
(785) 749-0130
(785) 749-0132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
BRA0103693
KS
208D00000X
General Practice Physician
0428304
KS
208D00000X
General Practice Physician
17903
KS
208D00000X
General Practice Physician
Primary
424928
KS
208D00000X
General Practice Physician
430567
KS
367A00000X
Advanced Practice Midwife
64063
KS
Other
Enumeration date
04/04/2006
Last updated
11/01/2013
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