Whalio Doctors

NPI 1124073556

Alisa Ann Knowlton, MD

Practitioner Family Medicine Physician Bountiful, UT

Practice location

Address
390 N Main St, Bountiful, UT 84010-6046
Phone
(801) 294-1020
Fax
(801) 292-8369
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3615541205 (UT)

Registry record

NPI
1124073556
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 May 2006
Record last updated
26 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.