Individual
JOHN KNUDSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 E 32ND ST, STE 200, JOPLIN, MO 64804-2912
(417) 624-4277
(417) 624-4297
Mailing address
1515 E 32ND ST, STE 200, JOPLIN, MO 64804-2912
(417) 624-4277
(417) 624-4297
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2003002807
MO
Other
Enumeration date
06/22/2006
Last updated
08/05/2014
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