Organization Name: | MATTHEW C. MCKNIGHT, DPM, P.C. |
NPI Number: | 1447421144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW C. MCKNIGHT (PHYSICIAN/OWNER) |
Mailing Address: | 210 4th Ave Grinnell |
State: | IA US |
Postal Code: | 501121898 |
Phone Number: | 6412362008 |
Fax Number: | 6412362031 |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 01/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 00737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |