Individual provider · Type 1 NPI

Henry Knoop Iv, RPA-C

Medical Physician Assistant · Lakeport, CA

NPI number 1790912152 Active

Practice location

5176 Hill Rd E
Lakeport, CA 95453-6300

Call (707) 262-5088 Map

Fax (707) 263-8977

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085003747 (IL)
Physician Assistant 363A00000XPA-21953 (CA)
Medical Physician Assistant Primary 363AM0700X013106 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1790912152

Henry Knoop Iv, RPA-C's National Provider Identifier is 1790912152, issued on Jun 12, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeport, CA. The record was last updated on Feb 15, 2021.