Individual
MR. HENRY KNOOP IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5088
(707) 263-8977
Mailing address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5088
(707) 263-8977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003747
IL
363A00000X
Physician Assistant
PA-21953
CA
363AM0700X
Medical Physician Assistant
Primary
013106
NY
Other
Enumeration date
06/12/2009
Last updated
02/15/2021
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