Individual
FREDERICK WAYNE KNAPP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2420 VISTA WAY STE 101, OCEANSIDE, CA 92054-6190
(760) 722-5900
(760) 722-5999
Mailing address
2420 VISTA WAY STE 101, OCEANSIDE, CA 92054-6190
(760) 722-5900
(760) 722-5999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20A4950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX49500
—
CA
Enumeration date
09/01/2006
Last updated
07/08/2007
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