institution
Gerald L Knouf Md Pa
Health Service Clinic/Center in Chubbuck, Idaho
NPI 1831326289

Gerald L Knouf Md Pa is a Health Service Clinic/Center based in Chubbuck, ID and is specialized in Health Service. Gerald L Knouf Md Pa practices in Chubbuck, ID. The NPI Number for Gerald L Knouf Md Pa is 1831326289 and holds a License No. (Idaho).

The current practice location address for Gerald L Knouf Md Pa is 190 W Burnside Ave, Chubbuck, ID and can be reached out via phone at 208-023-8040 and via fax at 208-238-0401.

Location: 190 W Burnside Ave, Chubbuck, ID, 83202
institution
Provider Profile Details
NPI Number
1831326289
Provider Name
Gerald L Knouf Md Pa
Credential
Provider Entity Type
Organization
Address
190 W Burnside Ave, Chubbuck, ID, 83202
Phone Number
208-023-8040
Fax Number
208-238-0401
Provider Enumeration Date
06/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11043901 01 ID MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
190 W Burnside Ave
City
State
Zip
83202-2411
Phone Number
208-023-8040
Fax Number
208-238-0401
person
Provider Business Mailing Address Details
Address
190 W Burnside Ave
City
State
Zip
83202-2411
Phone Number
208-023-8040
Fax Number
208-238-0401
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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