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Individual

MR. CRAIG LESLIE KNOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004130
VA
363A00000X
Physician Assistant
130569
AK
363A00000X
Physician Assistant
MED-PAC-LIC-65937
MT
363A00000X
Physician Assistant
PA10004059
WA
363A00000X
Physician Assistant
Primary
PA12113
TX

Other

Enumeration date
03/29/2006
Last updated
04/30/2021
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