Individual
DR. JOHN WILLIAM KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 112TH AVE NE STE B250, BELLEVUE, WA 98004-3749
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD60671163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891769071
—
WA
05
—
2093544
—
WA
Enumeration date
02/15/2006
Last updated
06/16/2021
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