Individual
PEGGY KNITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 LUPINE DR, TORRINGTON, WY 82240-3504
(307) 532-5678
Mailing address
171 LUPINE DR, TORRINGTON, WY 82240-3504
(307) 532-5678
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15901
NE
208D00000X
General Practice Physician
Primary
5388A
WY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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