MEDICARE: KNAUF D.P.M., LLC

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	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1497567838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNAUF D.P.M., LLC

Provider Business Mailing Address
First Line	:	2800 CORNERSTONE DR STE 211-W3
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-8156
Country	:	US
Telephone Number	:	970-239-3432
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 CORNERSTONE DR STE 211-W3
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-8156
Country	:	US
Telephone Number	:	970-239-3432
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. VICTORIA KNAUF
Credential	:	DPM
Telephone Number	:	970-239-3432

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/23/2025

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