DR. Corey Gerald Gustafson, D.O.

NPI #1912982620 in Fallbrook, California

Provider Information

NPI Number: 1912982620
Entity Type: Individual
Name: DR. Corey Gerald Gustafson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Dec 14, 2005
Last Updated: Sep 18, 2015

Practice Location

Address: 4067 LADERA VISTA RD
City: Fallbrook
State: California
ZIP Code: 92028-9433
Phone: (757) 513-5594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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