Individual
GREGORY L KNUTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2775
(909) 580-2115
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
349887
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
349887
CA
Other
Enumeration date
03/28/2006
Last updated
11/09/2020
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