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Individual

GERALD L KNOUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 6TH ST, LEWISTON, ID 83501
(208) 750-7300
(208) 746-4899
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 750-7300
(208) 746-4899

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5074
ID
207Q00000X
Family Medicine Physician
ME156986
FL

Other

Enumeration date
08/16/2006
Last updated
02/22/2024
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