Individual provider · Type 1 NPI

Glenn O. Knight, PAC

Surgical Physician Assistant · Edmonds, WA

NPI number 1174557276 Active

Practice location

7315 212th St SW, Suite 201
Edmonds, WA 98026-7610

Call (425) 778-8116 Map

Fax (425) 775-9526

Mailing address

805 Madison St, Suite 901
Seattle, WA 98104-1172

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10003229 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1174557276

Glenn O. Knight, PAC's National Provider Identifier is 1174557276, issued on Jul 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edmonds, WA. The record was last updated on Oct 7, 2011.