Individual
DR. CLARENCE RICHARD KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9143
(520) 533-9178
Mailing address
1900 S GNOME TRL, SIERRA VISTA, AZ 85635-5665
(520) 458-1696
(520) 458-1696
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2894
AZ
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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