Individual
P. JOE KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
802 S 500 W, PROVO, UT 84601-5705
(801) 360-9580
Mailing address
802 S 500 W, PROVO, UT 84601-5705
(801) 360-9580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
267337-4406
UT
Other
Enumeration date
05/14/2010
Last updated
09/17/2010
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