Whalio Doctors

NPI 1003926387

Eric Albert Gustafson, MD

Practitioner Pediatrics Physician Bellevue, WA

Practice location

Address
2700 Northup Way, Bellevue, WA 98004-1463
Phone
(425) 827-4600
Mailing address
14711 NE 29th Pl Suite #255, Bellevue, WA 98007-7666

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD00048546 (WA)

Registry record

NPI
1003926387
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Aug 2006
Record last updated
26 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.