Basic Information
Provider Information
NPI: 1376518191
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNAUER
FirstName: STEVEN
MiddleName: TURNER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1547
Address2:  
City: SEDALIA
State: MO
PostalCode: 653021547
CountryCode: US
TelephoneNumber: 6608265960
FaxNumber: 6608264852
Practice Location
Address1: 2430 W PIERCE ST
Address2:  
City: CARLSBAD
State: NM
PostalCode: 882203553
CountryCode: US
TelephoneNumber: 5758874100
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/23/2006
LastUpdateDate: 01/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD2018-0026NMY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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