Dennis D And Ryan D Gustafson Dc | |
1910 Lucille Ave, Kingman, AZ 86401-4693 | |
(928) 753-2047 | |
(928) 753-2020 |
Full Name | Dennis D And Ryan D Gustafson Dc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1910 Lucille Ave, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003970930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Ryan D Gustafson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407938798 PECOS PAC ID: 1153340682 Enrollment ID: I20051115000081 |
Mailing Address | Practice Location Address |
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Dennis D And Ryan D Gustafson Dc 1910 Lucille Ave, Kingman, AZ 86401-4693 Ph: (928) 753-2047 | Dennis D And Ryan D Gustafson Dc 1910 Lucille Ave, Kingman, AZ 86401-4693 Ph: (928) 753-2047 |
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Mrs. Patricia D Haydon, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2139 Airway Ave., Kingman, AZ 86409 Phone: 928-757-2800 Fax: 928-757-2772 | |
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