Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 16626 | OH |
NPI | 1861536468 |
---|---|
Provider Name | Dr. Donald L Knowles |
First Address | Lima, OH 45805-2728 |
Second Address | Lima, OH 45805-2728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KN0501362 | (02) | OH |