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Individual

DR. JASON KNUDTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9399 CROWN CREST BLVD STE 220, PARKER, CO 80138-8508
(303) 805-1855
(303) 805-4421
Mailing address
9399 CROWN CREST BLVD STE 220, PARKER, CO 80138-8508
(303) 805-1855
(303) 808-4421

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
219949
MA
208600000X
Surgery Physician
Primary
49459
CO
208600000X
Surgery Physician
8793
SD
2086S0102X
Surgical Critical Care Physician
04-29219
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2043840
MA
Enumeration date
12/22/2005
Last updated
05/21/2024
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