Paul Russell Gustavson in Eureka - Physician Assistant
Paul Russell Gustavson - NPI 1295754752
Paul Russell Gustavson is a Physician Assistant in Eureka, California. Paul Russell Gustavson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Russell Gustavson is 1295754752. The last update date is 2021-11-02.
Paul Russell Gustavson's current location address is 2826 Harris St, Eureka, California. You can contact this provider via phone number 7074438066 and fax number 7072683250. The mailing address for Paul Russell Gustavson is 2826 Harris St, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Russell Gustavson |
|---|---|
| Address | 2826 Harris St, Eureka, California |
| Phone Number | 7074438066 |
| Fax Number | 7072683250 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295754752 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 2826 Harris St |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 955034809 |
| Phone Number | 7074438066 |
| Fax Number | 7072683250 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17059 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PA170590 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Paul Russell Gustavson by the Centers for Medicare & Medicaid Services?
The Paul Russell Gustavson has been assigned the NPI (National Provider Identifier) 1295754752 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Paul Russell Gustavson is geographically located?
The Paul Russell Gustavson is physically situated at the following location: 2826 Harris St, Eureka, CA, 955034809.
What is the Paul Russell Gustavson's area of specialization and corresponding taxonomy classification?
The Paul Russell Gustavson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1295754752 assigned to Paul Russell Gustavson?
The Paul Russell Gustavson was issued its 1295754752 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Paul Russell Gustavson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Russell Gustavson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-02.
NPI Number: 1215930425
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