Organization
KRAIG A KNOLL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRAIG A. KNOLL M.D. (OWNER)
(928) 639-0909
Entity
Organization
Contact information
Practice address
450 SOUTH WILLARD DRIVE, SUITE 107, COTTONWOOD, AZ 86326
(928) 639-0909
(928) 639-4632
Mailing address
PO BOX 3850, COTTONWOOD, AZ 86326-2607
(928) 634-0665
(928) 634-0337
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26911
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436734
—
AZ
Enumeration date
05/22/2006
Last updated
11/07/2007
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