Individual
BRIAN R KNOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 HIGHWAY 32, LEBANON, MO 65536-5303
(417) 269-2278
(417) 269-2274
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
116205
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208458901
—
MO
Enumeration date
06/15/2005
Last updated
09/23/2019
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