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Individual

MATTHEW LEE KNECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3525 PENTAGON BLVD, STE 101, BEAVERCREEK, OH 45431-1705
(937) 702-4060
(937) 702-4069
Mailing address
3700 SOUTHERN BLVD STE 101, KETTERING, OH 45429-1226
(937) 281-3810
(937) 281-3812

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.130527
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0226528
OH
Enumeration date
05/09/2012
Last updated
07/21/2022
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