Organization
DELTA ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P KNUTSON MD (OWNER)
(970) 399-4200
Entity
Organization
Contact information
Practice address
257 COTTONWOOD ST, DELTA, CO 81416-4400
(970) 399-4200
(970) 399-4219
Mailing address
22411 T RD, CEDAREDGE, CO 81413-8318
(970) 399-4200
(970) 399-4219
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42654
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11733039
—
CO
05
—
28626532
—
CO
01
—
KN800809
BCBS
CO
Enumeration date
07/19/2016
Last updated
07/30/2021
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