DR. Terry John Gustafson, OD
NPI #1932197407 in Spanaway, Washington
Provider Information
- NPI Number
- 1932197407
- Entity Type
- Individual
- Name
- DR. Terry John Gustafson, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Jan 27, 2009
Practice Location
- Address
- 17416 PACIFIC AVE S
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387-8263
- Phone
- (253) 531-1388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
| Provider Name | |
|---|---|
| Spanaway Eyecare, P.s. | AI Deep Dive |
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