Individual
DR. THOMAS ELDON KNUTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2405 ATHERHOLT ROAD, LYNCHBURG, VA 24501
(434) 485-8517
(434) 485-8594
Mailing address
P. O. BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
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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