Provider Demographics
NPI:1477752236
Name:KNECHT, LAURA ARLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ARLENE
Last Name:KNECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ARLENE
Other - Last Name:DAVIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6725 E DOVE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5305
Mailing Address - Country:US
Mailing Address - Phone:602-524-3758
Mailing Address - Fax:774-209-4329
Practice Address - Street 1:6725 E DOVE VALLEY RD
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5305
Practice Address - Country:US
Practice Address - Phone:602-524-3758
Practice Address - Fax:774-209-4329
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31996207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ236516Medicaid
AZZ117321Medicare PIN