Craig Allen Gustafson Md Pc | |
2478 Patterson Rd Suite 27 Grand Junction CO 81505-1266 | |
(970) 242-1566 | |
(970) 263-0134 |
Full Name | Craig Allen Gustafson Md Pc |
---|---|
Speciality | Family Medicine |
Location | 2478 Patterson Rd, Grand Junction, Colorado |
Authorized Official Name and Position | Craig A Gustafson (OWNER) |
Authorized Official Contact | 9702421566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Craig Allen Gustafson Md Pc Po Box 6971 Lincoln NE 68506-0971 Ph: (402) 486-7020 | Craig Allen Gustafson Md Pc 2478 Patterson Rd Suite 27 Grand Junction CO 81505-1266 Ph: (970) 242-1566 |
NPI Number | 1255417853 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 01/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255417853 | NPI | - | NPPES |
23176822 | Medicaid | CO | |
DB9937 | Other | CO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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