Jordan Richard Gustafson, PA-C
NPI #1033678644 in Nebraska City, Nebraska
Provider Information
- NPI Number
- 1033678644
- Entity Type
- Individual
- Name
- Jordan Richard Gustafson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 14, 2019
- Last Updated
- Mar 14, 2019
Practice Location
- Address
- 1301 GRUNDMAN BLVD
- City
- Nebraska City
- State
- Nebraska
- ZIP Code
- 68410-3319
- Phone
- (402) 873-3321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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