Individual
JONATHAN KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4017 RAWLINS ST, CHEYENNE, WY 82001-1800
(307) 635-2562
(307) 638-2074
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 773-8237
(307) 773-8013
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
12750A
WY
207X00000X
Orthopaedic Surgery Physician
Primary
12750A
WY
390200000X
Student in an Organized Health Care Education/Training Program
MT206863
PA
Other
Enumeration date
06/02/2014
Last updated
10/31/2022
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