Edward Ernest Gustavson MD

  • NPI 1386674182
According to our database, the NPI number for Edward Ernest Gustavson MD is 1386674182 and activated since 17 years ago. Edward Ernest Gustavson MD is an individual provider who specializes in Pediatrics, and the primary practice location is 1310 E Boone St, Tahlequah, OK 74464. You can also contact Edward Ernest Gustavson MD via telephone number is (918) 456-7700. Provider NPI information was last updated on 07/29/2013.

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Overview of Edward Ernest Gustavson MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/04/2006
  • Last updated: 07/29/2013

Primary Scrop of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 20370
  • License State: OK

Provider Mailing Address

  • Address: 1310 E Boone St
    Tahlequah, OK 74464
  • Phone: 918-456-7700
  • Fax: 918-458-9314

Provider Practice Location

  • Address: 1310 E Boone St
    Tahlequah, OK 74464
  • Phone: 918-456-7700
  • Fax: 918-458-9314

Scope of Practice

  • Taxonomy Code: 208000000X
  • Specialty: Pediatrics
  • License Number: 20370
  • License State: OK
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 100173510A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Edward Ernest Gustavson MD?
  • A: The npi number for Edward Ernest Gustavson MD is 1386674182.
  • Q: What are Edward Ernest Gustavson MD's specialties?
  • A: Edward Ernest Gustavson MD's specialties are Pediatrics and different specialities.
  • Q: What is the medical license for Edward Ernest Gustavson MD?
  • A: The medical license number for Edward Ernest Gustavson MD is 20370 and issued in OK in USA.
  • Q: Where is Edward Ernest Gustavson MD practice location?
  • A: Edward Ernest Gustavson MD is practicing at 1310 E Boone St, Tahlequah, OK 74464.
  • Q: How to contact Edward Ernest Gustavson MD?
  • A: You can contact Edward Ernest Gustavson MD via 918-456-7700.