Male or Other

Thomas J. Knutson MD

Psychiatry Physician in Glendale, AZ(View on Map)

Full Name

Thomas John Knutson MD

NPI Number

1003109745

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/26/2011

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Arizona
Mississippi
Missouri

License Number

53686
25255
2022025738

Contact
Information

Purpose

Mailing
Location

Address

7500 N DREAMY DRAW DR STE 145
11851 N 51ST AVE

City

Phoenix
Glendale

State

AZ
AZ

Postal Code

85020-4668
85304-2809

Country

US
US

Telephone Number

(480) 882-4545
(480) 882-4545

Identifiers

Identifier

151850

Identifier State

AZ

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/01/2022

Provider Address

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