Jonathan Glyndon Knutson OD

NPI 1003800012 - Optometrist - 152W00000X

NPI Details
NPI 1003800012
Gender Male
Enumeration Date 09/06/2005
Last Updated 07/20/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5630 S 84TH ST
SUITE 120
LINCOLN NE, 68516-4427, US
Phone (402) 488-2211
Fax
Business Location
5630 S 84TH ST
SUITE 120
LINCOLN NE, 68516-4427, US
Phone (402) 488-2211
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 1147
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According to our database, Dr. Jonathan Glyndon Knutson OD NPI is 1003800012, taxonomy code is 152W00000X and license number is 1147, license state is located at Nebraska. Jonathan Glyndon Knutson OD physically located at 5630 S 84th St, Lincoln NE, 68516-4427. NPI Number Jonathan Glyndon Knutson OD has the Individual type.

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1003800012 NPI number is provided on an as is basis without warranty of any kind. 1003800012 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Glyndon Knutson OD are for informational purposes only.