Organization
THOMAS KNOLMAYER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BEATY (BILLING AGENT)
(907) 770-2380
Entity
Organization
Contact information
Practice address
19510 S MITKOF LOOP, EAGLE RIVER, AK 99577-8669
(907) 770-2380
(907) 770-2341
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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