Provider Demographics
NPI:1376735613
Name:KNAPP, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 COLONIA DE SALUD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2486
Mailing Address - Country:US
Mailing Address - Phone:520-458-8145
Mailing Address - Fax:877-771-1056
Practice Address - Street 1:75 COLONIA DE SALUD
Practice Address - Street 2:SUITE 200A
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2487
Practice Address - Country:US
Practice Address - Phone:520-458-8145
Practice Address - Fax:877-771-1056
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ101899Medicare PIN
AZE76714Medicare UPIN