MEDICARE: SALLY A KNAVER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427147081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALLY A KNAVER MD PC

Provider Business Mailing Address
First Line	:	2121 EAST HARMONY ROAD
Second Line	:	SUITE 290
City	:	FORT COLLINS
State	:	CO
Zip	:	80528
Country	:	US
Telephone Number	:	970-224-9890
Fax Number	:	970-224-9800

Provider Business Practice Location Address
First Line	:	2121 EAST HARMONY ROAD
Second Line	:	SUITE 290
City	:	FORT COLLINS
State	:	CO
Zip	:	80528
Country	:	US
Telephone Number	:	970-224-9890
Fax Number	:	970-224-9800

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SALLY A KNAVER
Credential	:	MD
Telephone Number	:	970-224-9890

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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