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NPI Code Detail

MEDICARE: JAMES ROY KNOWLES M.D.

MEDICARE:   JAMES ROY KNOWLES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician35-08-5811-KOH
2207W00000XOphthalmology Physician42080TN

Other Identifiers

General Provider Information

NPI Number : 1053306001
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ROY KNOWLES M.D.
Provider Business Mailing Address
First Line : 4235 INDIAN RIPPLE RD
Second Line : STE 100
City : BEAVERCREEK
State : OH
Zip : 45440-3247
Country : US
Telephone Number : 937-427-2020
Fax Number : 937-429-1144
Provider Business Practice Location Address
First Line : 4235 INDIAN RIPPLE RD
Second Line : STE 100
City : BEAVERCREEK
State : OH
Zip : 45440-3247
Country : US
Telephone Number : 937-427-2020
Fax Number : 937-429-1144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 02/08/2008

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Directions to “ JAMES ROY KNOWLES M.D.” Practice Location

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