DR. Gary L. Gustafson, D.O.

NPI #1144205345 in Belton, Missouri

Provider Information

NPI Number: 1144205345
Entity Type: Individual
Name: DR. Gary L. Gustafson, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Dec 9, 2005
Last Updated: Aug 24, 2010

Practice Location

Address: 8015 E. 171ST ST.
City: Belton
State: Missouri
ZIP Code: 64012
Phone: (816) 331-0961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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