Craig Allen Gustafson Md Pc

LBN: Craig Allen Gustafson Md Pc
Craig Allen Gustafson Md Pc is an health care organization with primary practice located at 2478 Patterson Rd Suite 27, Grand Junction CO 81505-1266. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Craig Allen Gustafson Md Pc can be contacted via phone (970) 242-1566, or through Gustafson, Craig A via phone (970) 242-1566.

Contact Information

Primary practice address
2478 Patterson Rd Suite 27 Grand Junction CO 81505-1266
Phone: (970) 242-1566
Fax: (970) 263-0134
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Craig A Doctor of Medicine (MD)
Phone: (970) 242-1566

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255417853
LBN Legal business name Craig Allen Gustafson Md Pc
DBA Doing business as
Authorized official Gustafson, Craig A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 31st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255417853 NPPES
Colorado MEDICAID 23176822
Colorado Other DB9937

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