Devitre, David Gustad

Devitre, David Gustad is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Devitre, David Gustad can be contacted via phone (505) 609-6463.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-6463
Fax: (505) 609-6474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2007006876 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007006876 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A-1522-09 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A-1522-09 New Mexico

Profile Details

NPI number 1851595912
LBN Legal business name Devitre, David Gustad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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