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Individual

TIMOTHY R KNAUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.C.

Contact information

Practice address
9975 S EASTERN AVE STE 110, LAS VEGAS, NV 89183-7950
(702) 492-7208
(702) 616-0657
Mailing address
PO BOX 530010, HENDERSON, NV 89053-0010
(702) 492-7208
(702) 616-0657

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
619
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013088327
NV
Enumeration date
11/10/2006
Last updated
07/21/2022
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