Provider Demographics
NPI:1205279585
Name:MCKNIGHT, MARLA (MD)
Entity type:Individual
Prefix:DR
First Name:MARLA
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 MONTROYAL BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V7R 2G4
Mailing Address - Country:CA
Mailing Address - Phone:604-990-9884
Mailing Address - Fax:
Practice Address - Street 1:ST. PAUL'S HOSPITAL
Practice Address - Street 2:1081 BURRARD STREET
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V6Z1Y6
Practice Address - Country:CA
Practice Address - Phone:604-682-2344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ25968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine