DANIELLE M KNOWLTON

TAHOE CARSON VALLEY MEDICAL GROUP INC

Dr DANIELLE M KNOWLTON is a female medical professional, specializing in Qualified Audiologist. She graduated in 1978.

Contact

TAHOE CARSON VALLEY MEDICAL GROUP INC

2169 S AVE
SOUTH LAKE TAHOE
CA
961507059

Tel: 5305435815

DANIELLE M KNOWLTON Information

Npi 1700171717
Pac Id 4789855289
Professional Enrollment Id I20110913000670
Last Name KNOWLTON
First Name DANIELLE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty QUALIFIED AUDIOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAHOE CARSON VALLEY MEDICAL GROUP INC
Group Practice Pac Id 8426048158
Number Of Group Practice Members 47
Line 1 Street Address 2169 S AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTH LAKE TAHOE
State CA
Zip Code 961507059
Phone Number 5305435815
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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