Individual
THOMAS R. KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 CITRACADO PKWY, SUITE 200, ESCONDIDO, CA 92029-4110
(760) 743-4789
(760) 743-4779
Mailing address
15611 POMERADO RD, FIFTH FLOOR, POWAY, CA 92064-2437
(858) 673-2574
(858) 618-1523
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G50268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962409938
NPI NUMBER
CA
05
—
1962409938
—
CA
01
—
G50268
MEDICAL LICENSE
CA
Enumeration date
07/05/2005
Last updated
03/24/2016
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