Individual
DR. VICTORIA L. KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 S CLIFF AVE, SUITE 220, SIOUX FALLS, SD 57105-1023
(605) 322-3790
(605) 322-3791
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
6051574-1205
UT
207W00000X
Ophthalmology Physician
8041
SD
207W00000X
Ophthalmology Physician
A78941
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
6051574-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A789410
BLUE SHIELD
—
05
—
6300730
—
SD
01
—
F899
CHAMPUS
—
05
—
S104992
—
SD
Enumeration date
05/15/2006
Last updated
02/05/2018
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