Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0103301049 | VA |
NPI | 1083608814 |
---|---|
Provider Name | Dr. William E Knudson JR. |
First Address | Leesburg, VA 20176-2700 |
Second Address | Leesburg, VA 20176-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 01/11/2021 |