1386674182 Edward Ernest Gustavson, MD
Developmental - Behavioral Pediatrics Physician
Active
Basic Information
- Full Name
- Edward Ernest Gustavson, MD
- Gender
- Male
- Enumeration Date
- July 4, 2006
- Last Update
- July 29, 2013
Practice Location
- Address
- 1310 E BOONE ST
TAHLEQUAH, OK 744643338 - Phone
- (918) 456-7700
- Fax
- (918) 458-9314
Mailing Address
- Address
- 1310 E BOONE ST
TAHLEQUAH, OK 744643338 - Phone
- (918) 456-7700
- Fax
- (918) 458-9314
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 2080P0006X | Pediatrics | 20370 | OK | Primary |
| Pediatrics Physician | 208000000X | Pediatrics | 20370 | OK | No |
| Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | 2080N0001X | Pediatrics | 20370 | OK | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100173510A | 05 | OK | N/A |
Frequently Asked Questions
What is Edward Ernest Gustavson, MD's NPI number?
Edward Ernest Gustavson, MD's NPI number is 1386674182.
Which doctor has NPI number 1386674182?
The doctor with NPI number 1386674182 is Edward Ernest Gustavson, MD.
What is Edward Ernest Gustavson, MD's practice address?
Edward Ernest Gustavson, MD's practice address is 1310 E BOONE ST, TAHLEQUAH, OK, 744643338.
Which doctor practices at 1310 E BOONE ST, TAHLEQUAH, OK, 744643338?
Edward Ernest Gustavson, MD practices at 1310 E BOONE ST, TAHLEQUAH, OK, 744643338.
What is Edward Ernest Gustavson, MD's phone number?
Edward Ernest Gustavson, MD's phone number is (918) 456-7700.
Who is (918) 456-7700?
(918) 456-7700 is the phone number for Edward Ernest Gustavson, MD.
What is Edward Ernest Gustavson, MD's specialty?
Edward Ernest Gustavson, MD's specialty is Developmental - Behavioral Pediatrics Physician.
What type of doctor is Edward Ernest Gustavson, MD?
Edward Ernest Gustavson, MD is a Developmental - Behavioral Pediatrics Physician.
Is Edward Ernest Gustavson, MD a Developmental - Behavioral Pediatrics?
Yes, Edward Ernest Gustavson, MD is a Developmental - Behavioral Pediatrics.
Is Edward Ernest Gustavson, MD still practicing?
Yes, Edward Ernest Gustavson, MD is currently practicing.
Is Edward Ernest Gustavson, MD accepting new patients?
Edward Ernest Gustavson, MD may be accepting new patients. Please call their office at (918) 456-7700 to inquire about availability.
Is NPI 1386674182 still active?
Yes, NPI 1386674182 is currently active.
Where does Edward Ernest Gustavson, MD practice?
Edward Ernest Gustavson, MD practices in TAHLEQUAH, OK.
Is Edward Ernest Gustavson, MD a male or female doctor?
Edward Ernest Gustavson, MD is a male doctor.