Individual
RICHARD ALAN KNACKENDOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2373 G RD, SUITE 100, GRAND JUNCTION, CO 81505-9641
(970) 245-0484
(970) 241-2803
Mailing address
2373 G RD, SUITE 100, GRAND JUNCTION, CO 81505-9641
(970) 245-0484
(970) 241-2803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28231
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282318
—
CO
Enumeration date
05/28/2006
Last updated
09/23/2015
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