NPI 1528033644

Paul T. Gustafson, DO

Practitioner Surgery Physician Evanston, WY

Practice location

Address: 196 Arrowhead Dr STE 9, Evanston, WY 82930-8752
Phone: (307) 783-8280
Mailing address: 7100 Commerce Way Suite 180, Brentwood, TN 37027-2829

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence TL#656 (WY)

Other Surgery providers in Wyoming →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2894 (IA)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 5101015864 (MI)

Registry record

NPI: 1528033644
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2006
Record last updated: 11 Apr 2008

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.