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Dr. Gary L. Gustafson, DO
Family Medicine Physician in Belton, Missouri
NPI 1144205345

Gary L. Gustafson is a Family Medicine Physician based in Belton, MO. Gary L. Gustafson practices in Belton, MO and has the professional credentials of DO. The NPI Number for Gary L. Gustafson is 1144205345 and holds a License No. R8612 (Missouri).

The current practice location address for Gary L. Gustafson is 8015 E. 171St St., Belton, MO and can be reached out via phone at 816-331-0961 and via fax at 816-322-5236.

Location: 8015 E. 171St St., Belton, MO, 64012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144205345
Provider Name
Gary L. Gustafson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
8015 E. 171St St., Belton, MO, 64012
Phone Number
816-331-0961
Fax Number
816-322-5236
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240300806 05 MO
institution
Provider Business Practice Location Address Details
Address
8015 E. 171St St.
City
Belton
State
Missouri
Zip
64012
Phone Number
816-331-0961
Fax Number
816-322-5236
person
Provider Business Mailing Address Details
Address
8015 E. 171St St.
City
Belton
State
Missouri
Zip
64012
Phone Number
816-331-0961
Fax Number
816-322-5236
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
R8612 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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