Individual
THOMAS JOHN KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11851 N 51ST AVE, GLENDALE, AZ 85304-2809
(480) 882-4545
(480) 882-5814
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2022025738
MO
2084P0800X
Psychiatry Physician
25255
MS
2084P0800X
Psychiatry Physician
Primary
53686
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151850
—
AZ
Enumeration date
05/26/2011
Last updated
12/01/2022
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