Craig Allen Gustafson MD

NPI 1013093517 - Family Medicine - 207Q00000X

NPI Details
NPI 1013093517
Gender Male
Enumeration Date 10/27/2006
Last Updated 01/31/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2478 PATTERSON RD
SUITE 27
GRAND JUNCTION CO, 81505-1266, US
Phone (970) 242-1566
Fax (970) 263-0134
Business Location
PO BOX 6971
LINCOLN NE, 68506-0971, US
Phone (402) 486-7020
Fax (402) 434-6037
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 41250
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According to our database, Craig Allen Gustafson MD NPI is 1013093517, taxonomy code is 207Q00000X and license number is 41250, license state is located at Colorado. Craig Allen Gustafson MD physically located at 2478 Patterson Rd, Grand Junction CO, 81505-1266. NPI Number Craig Allen Gustafson MD has the Individual type.

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1013093517 NPI number is provided on an as is basis without warranty of any kind. 1013093517 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Allen Gustafson MD are for informational purposes only.