MR. Doug Allen Gustafson, ARDMS,RVT,RDCS
NPI #1760592984 in Agua Dulce, California
Provider Information
- NPI Number
- 1760592984
- Entity Type
- Individual
- Name
- MR. Doug Allen Gustafson, ARDMS,RVT,RDCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physiological Laboratory
- Credential
- ARDMS,RVT,RDCS
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 34724 CAPROCK RD
- City
- Agua Dulce
- State
- California
- ZIP Code
- 91390-5422
- Phone
- (661) 268-0791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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