Craig William Knoche, PA-C
Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1710690011
StatusActive
Last updated in NPPESMay 10, 2023
Details
- NPI
- 1710690011
- Entity type
- Individual (NPI-1)
- Name
- Craig William Knoche
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2023
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5004 | OK | Yes |
Practice location
5401 N Portland Ave Ste 600Oklahoma City, OK 73112-2090
Phone 405-713-9940 · Fax 405-713-9941
Mailing address
3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640
Phone 405-713-9940 · Fax 405-713-9941
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All 685 Physician Assistant providers in Oklahoma City · All 27,799 providers in Oklahoma City
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