Basic Information
| Provider Information | |||||||||
| NPI: | 1912034240 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KNOX | ||||||||
| FirstName: | SUSAN | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D.,PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PILLSBURY | ||||||||
| OtherFirstName: | SUSAN | ||||||||
| OtherMiddleName: | JANE | ||||||||
| OtherNamePrefix: | MRS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D.,PH.D. | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1050 ARASTRADERO RD BLDG A | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943041334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507252720 | ||||||||
| FaxNumber: | 6507237254 | ||||||||
| Practice Location | |||||||||
| Address1: | 875 BLAKE WILBUR DR | ||||||||
| Address2: | DEPT. RADIATION ONCOLOGY - CANCER CENTER | ||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943042205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6507236171 | ||||||||
| FaxNumber: | 6507258231 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 05/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | G58623 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.