Individual
BRYAN KNICKERBOCKER CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6812
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6812
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12229000
NJ
Other
Enumeration date
03/31/2021
Last updated
07/12/2024
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