Healthcare Provider Details

I. General information

NPI: 1669622502
Provider Name (Legal Business Name): EMILY KNOCHEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY SCHOENER PA-C

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 05/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N 32ND ST SUITE 110
PHOENIX AZ
85018-3953
US

IV. Provider business mailing address

4400 N 32ND ST SUITE 110
PHOENIX AZ
85018-3953
US

V. Phone/Fax

Practice location:
  • Phone: 602-956-9595
  • Fax: 602-956-3232
Mailing address:
  • Phone: 602-956-9595
  • Fax: 602-956-3232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: