Susan E Gustafson, PA-C

NPI #1417393927 in Jamestown, New York

Provider Information

NPI Number: 1417393927
Entity Type: Individual
Name: Susan E Gustafson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 13, 2013
Last Updated: Aug 20, 2021

Practice Location

Address: 21 PORTER AVE
City: Jamestown
State: New York
ZIP Code: 14701-6247
Phone: (716) 664-1909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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