Paul T. Gustafson, D.O.

NPI #1528033644 in Evanston, Wyoming

Provider Information

NPI Number: 1528033644
Entity Type: Individual
Name: Paul T. Gustafson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: D.O.
Enumeration Date: Feb 22, 2006
Last Updated: Apr 11, 2008

Practice Location

Address: 196 ARROWHEAD DR
Address 2: STE 9
City: Evanston
State: Wyoming
ZIP Code: 82930-8752
Phone: (307) 783-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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