Individual
DR. ROBERT KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(406) 698-0290
(406) 698-0290
Mailing address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(406) 698-0290
(406) 698-0290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
547
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484194
—
MT
Enumeration date
02/24/2007
Last updated
01/12/2012
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