Individual
DANIEL THOMAS KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
786 D ST, JOINT BASE ELMENDORF RICHARDSON, AK 99508
(907) 384-0600
Mailing address
4076 NEELEY RD, FORT WAINWRIGHT, AK 99703-7954
(907) 384-0600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1145170
—
Other
Enumeration date
09/28/2017
Last updated
05/21/2025
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