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Organization
THOMAS KNUTSON MD INC
Active
Organization
THOMAS KNUTSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R KNUTSON MD (OWNER)
(760) 743-4789
Entity
Organization
Contact information
Practice address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 743-4789
(760) 743-4779
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 673-2502
(858) 207-0030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851718
—
CA
Enumeration date
10/26/2006
Last updated
03/14/2012
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