Organization
DELTA ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P KNUTSON MD (PHYSICIAN/OWNER)
(970) 399-4200
Entity
Organization
Contact information
Practice address
257 COTTONWOOD ST, DELTA, CO 81416-4400
(970) 399-4200
Mailing address
PO BOX 1129, DELTA, CO 81416-1129
(970) 874-2470
(970) 874-2475
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42654
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28626532
—
CO
01
—
611779000
OWCP
CO
01
—
DEK00809
BCBS
CO
Enumeration date
10/24/2006
Last updated
05/27/2021
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