GAY L GUSTAFSON DPM PC NPI 1538430178

NPI Information

GAY L GUSTAFSON DPM PC is a foot and ankle surgery podiatrist in Albuquerque, NM. GAY L GUSTAFSON DPM PC NPI is 1538430178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7700 MENAUL BLVD NE
STE D
ALBUQUERQUE, NM
ZIP 87110-616
Phone: (505) 299-4487
Fax: (505) 299-4498

The provider's authorized official is Gay L Gustafson .
The authorized official title is Owner and has the following contact phone number (505) 299-4487.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/12/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.