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Individual

DR. JAMES LYLE KNOLL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2295 BACKCOUNTRY DR., PAGOSA SPRINGS, CO 81147
(970) 731-4262
(970) 731-4262
Mailing address
2295 BACKCOUNTRY DR., PAGOSA SPRINGS, CO 81147
(970) 731-4262
(970) 731-4262

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
C53409
CA
2084P0800X
Psychiatry Physician
Primary
34693
CO

Other

Enumeration date
10/03/2006
Last updated
03/19/2009
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