Gay L Gustafson DPM

NPI 1003980178 - Podiatrist - 213E00000X

NPI Details
NPI 1003980178
Gender Female
Enumeration Date 11/20/2006
Last Updated 07/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
7700 MENAUL BLVD NE
STE D
ALBUQUERQUE NM, 87110-4616, US
Phone (505) 299-4487
Fax (505) 299-4498
Business Location
7700 MENAUL BLVD NE
STE D
ALBUQUERQUE NM, 87110-4616, US
Phone (505) 299-4487
Fax (505) 299-4498
Toxanomy
Taxonomy Code 213E00000X
License State New Mexico
License Number 252
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According to our database, Gay L Gustafson DPM NPI is 1003980178, taxonomy code is 213E00000X and license number is 252, license state is located at New Mexico. Gay L Gustafson DPM physically located at 7700 Menaul Blvd Ne, Albuquerque NM, 87110-4616. NPI Number Gay L Gustafson DPM has the Individual type.

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1003980178 NPI number is provided on an as is basis without warranty of any kind. 1003980178 is maintained by the National Plan & Provider Enumeration System. The contents of Gay L Gustafson DPM are for informational purposes only.