DR. JON MONTGOMERY GUSTAFSON DVM NPI 1407272974

NPI Information

NPI: 1407272974
Provider Name: DR. JON MONTGOMERY GUSTAFSON, DVM
Classification: Veterinarian - 174M00000X
Entity Type: Individual
Address:
4636 55TH ST
BOULDER, CO
ZIP 80301
Phone: (303) 530-2500
Get Directions

DR. Jon Montgomery Gustafson, DVM is a veterinarian in Boulder, CO. The provider is a doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. DR. Jon Montgomery Gustafson, DVM NPI is 1407272974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4636 55TH ST
BOULDER, CO
ZIP 80301-005
Phone: (303) 530-2500
Fax: (303) 530-2885

The enumeration date for this NPI number is 3/8/2014 and was last updated on 3/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174M00000X	Veterinarian		3822	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »