Provider Demographics
NPI:1174850697
Name:MCKNIGHT, CURTIS A (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:MCKNIGHT
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3030 N CENTRAL AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2716
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:500 W THOMAS RD STE 710
Practice Address - Street 2:DIGNITY HEALTH MEDICAL GROUP- DEPARTMENT OF PSYCHIATRY
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4202
Practice Address - Country:US
Practice Address - Phone:602-406-6999
Practice Address - Fax:602-294-5665
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0992352084P0800X
AZ476142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ829655Medicaid