NPI 1992895684

Clarence Richard Knowles, DO

Practitioner Pediatrics Physician Fort Huachuca, AZ

Practice location

Address: 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080
Phone: (520) 533-9143
Fax: (520) 533-9178
Mailing address: 1900 S Gnome Trl, Sierra Vista, AZ 85635-5665

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2894 (AZ)

Other Pediatrics providers in Arizona →

Registry record

NPI: 1992895684
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2006
Record last updated: 8 Jul 2007

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.