Provider Demographics
NPI:1528625027
Name:KNAUF, VICTORIA RUBY (DPM)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RUBY
Last Name:KNAUF
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:RUBY
Other - Last Name:KNAUF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:VICTORIA KNAUF DPM
Mailing Address - Street 1:1266 ESCALANTE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-8934
Mailing Address - Country:US
Mailing Address - Phone:970-259-5303
Mailing Address - Fax:970-259-3510
Practice Address - Street 1:1266 ESCALANTE DR STE 201
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-8934
Practice Address - Country:US
Practice Address - Phone:970-255-9530
Practice Address - Fax:970-259-3510
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000907213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery