Individual
GORDON C KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4800 MEXICO RD STE 103, SAINT PETERS, MO 63376-1666
(314) 909-0747
(844) 535-9135
Mailing address
4800 MEXICO RD STE 103, SAINT PETERS, MO 63376-1666
(314) 909-0747
(844) 535-9135
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
R5C87
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R5C87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242527208
—
MO
Enumeration date
07/10/2006
Last updated
11/04/2020
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