Individual
DR. EDSON L. KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0326
(907) 235-0253
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-0326
(907) 235-0253
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101238749
VA
2085R0202X
Diagnostic Radiology Physician
Primary
103509
AK
2085R0202X
Diagnostic Radiology Physician
47265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010216958
—
VA
01
—
185560
ANTHEM BCBS
VA
05
—
3810004714
—
WV
01
—
P00274027
RAILROAD MEDICARE
—
Enumeration date
01/05/2006
Last updated
03/11/2025
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