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Individual

DR. THOMAS ELDON KNUTSON JR.

Active
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Individual

DR. THOMAS ELDON KNUTSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01012201693
VA
207X00000X
Orthopaedic Surgery Physician
1902
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0193713000
WV
Enumeration date
11/13/2006
Last updated
01/09/2024
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