NPI 1184409864

Roger McKnight

Practitioner Peer Specialist Denton, MD

Practice location

Address: 18 Denton Plz, Denton, MD 21629-9501
Phone: (667) 292-0335

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence PR0563 (MD)

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Registry record

NPI: 1184409864
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2023
Record last updated: 30 Aug 2023

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.