Healthcare Provider Details

I. General information

NPI: 1497567838
Provider Name (Legal Business Name): KNAUF D.P.M., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 ESCALANTE DR STE 204
DURANGO CO
81303-8932
US

IV. Provider business mailing address

2800 CORNERSTONE DR STE 211-W3
PAGOSA SPRINGS CO
81147-8156
US

V. Phone/Fax

Practice location:
  • Phone: 970-239-3432
  • Fax:
Mailing address:
  • Phone: 970-239-3432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTORIA KNAUF
Title or Position: PODIATRIST
Credential: DPM
Phone: 970-239-3432