Chris Gustafson, PA-C
NPI #1922177088 in Stanwood, Washington
Provider Information
- NPI Number
- 1922177088
- Entity Type
- Individual
- Name
- Chris Gustafson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Feb 8, 2011
Practice Location
- Address
- 7205 265TH ST NW
- City
- Stanwood
- State
- Washington
- ZIP Code
- 98292-6221
- Phone
- (360) 629-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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