Edward Ernest Gustavson, MD
Edward Ernest Gustavson, MD is a Developmental - Behavioral Pediatrics Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.
- Licensed in
- OK
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1310 E Boone StTahlequah, OK 74464-3338
Phone: (918) 456-7700
Fax: (918) 458-9314
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental - Behavioral Pediatrics Physician (primary) | Taxonomy 2080P0006X · Licence 20370 (OK) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 20370 (OK) |
| Neonatal-Perinatal Medicine Physician | Taxonomy 2080N0001X · Licence 20370 (OK) |
Record details
| NPI number | 1386674182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | July 29, 2013 |