Dr. Alexander Cullison Knobloch
Family Doctor Family Doctor - Sports Medicine
101 Bodin Cir
Travis Afb
, California 94535-1809
Dr. Alexander Cullison Knobloch
Family Doctor Family Doctor - Sports Medicine
101 Bodin Cir
Travis Afb
, California 94535-1809
(707) 423-3000
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Alexander Cullison Knobloch
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Phone : (707) 423-3000
Second Address
- Dr. Alexander Cullison Knobloch
- 101 Bodin Cir
- Travis Afb, CA
- Zip : 94535-1809
- Phone : (707) 423-3000
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Is Dr. Alexander Cullison Knobloch a sole practitioner?
Is Dr. Alexander Cullison Knobloch accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01076109A | IN |
| N | 207QS0010X | Family Doctor - Sports Medicine | 01076109A | IN |
National Provider Identifier
| NPI | 1154736924 |
|---|---|
| Provider Name | Dr. Alexander Cullison Knobloch |
| First Address | Travis Afb, CA 94535-1809 |
| Second Address | Travis Afb, CA 94535-1809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2014 |
| Last Update Date | 21/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.