Organization
KNOPP ANESTHESIA SERVICES LLC
Active
Other names
Knopp Anesthesia Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN KNOPP (REGISTERED AGENT)
(605) 212-1803
Entity
Organization
Contact information
Practice address
30544 HIGHWAY 200 STE 201, PONDERAY, ID 83852-5005
(208) 265-8194
Mailing address
12284 E NUNN RD, ATHOL, ID 83801-9310
(605) 212-1803
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
07/06/2024
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