Individual
EVAN R KNAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
207006526
MO
208100000X
Physical Medicine & Rehabilitation Physician
A-1437-08
NM
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A1437-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204454102
—
MO
05
—
89077083
—
NM
Enumeration date
02/21/2007
Last updated
07/01/2013
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