TIMOTHY SCOT KNOBLOCH

THIBODAUX, LA
NPI1861562613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  075229)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY SCOT KNOBLOCH CRNA
602 N ACADIA RD
THIBODAUX, LA 70301-4847
Phone number: 985-493-4750
Mailing Address
Mr. TIMOTHY SCOT KNOBLOCH CRNA
PO BOX 1449
THIBODAUX, LA 70302-1449
Phone number: 985-446-8994