# DELTA ORTHOPEDICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891879201
- **Authorized official:** JOHN P KNUTSON MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (970) 399-4200

## Contact information

- **Practice address:** 257 COTTONWOOD ST, DELTA, CO 81416-4400
- **Practice address phone:** (970) 399-4200
- **Mailing address:** PO BOX 1129, DELTA, CO 81416-1129
- **Mailing address phone:** (970) 874-2470
- **Mailing address fax:** (970) 874-2475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 42654 | CO | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 05/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 28626532 | — | CO |
| 01 | — | 611779000 | OWCP | CO |
| 01 | — | DEK00809 | BCBS | CO |