Individual
SHAUN C KNOX
Active
Individual
SHAUN C KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00060832
WA
207R00000X
Internal Medicine Physician
Primary
OP61005122
WA
207R00000X
Internal Medicine Physician
PG168371
OR
207RS0010X
Sports Medicine (Internal Medicine) Physician
2017-01367
NC
Other
Enumeration date
03/01/2007
Last updated
11/21/2022
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