NPI 1245976158

Chad Gustafson, NRPIDHS

Practitioner Independent Duty Corpsman Washington, DC

Practice location

Address: 1650 17th St NW, Washington, DC 20500
Phone: (202) 814-6607

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in District of Columbia →

Registry record

NPI: 1245976158
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2022
Record last updated: 12 May 2022

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.