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Edward Ernest Gustavson, MD
Neonatal-Perinatal Medicine Physician in Tahlequah, Oklahoma
NPI 1386674182

Edward Ernest Gustavson is a Neonatal-Perinatal Medicine Physician based in Tahlequah, OK and is specialized in Neonatal-Perinatal Medicine. Edward Ernest Gustavson practices in Tahlequah, OK and has the professional credentials of MD. The NPI Number for Edward Ernest Gustavson is 1386674182 and holds a License No. 20370 (Oklahoma).

The current practice location address for Edward Ernest Gustavson is 1310 E Boone St, Tahlequah, OK and can be reached out via phone at 918-456-7700 and via fax at 918-458-9314.

Location: 1310 E Boone St, Tahlequah, OK, 74464-3338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386674182
Provider Name
Edward Ernest Gustavson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1310 E Boone St, Tahlequah, OK, 74464-3338
Phone Number
918-456-7700
Fax Number
918-458-9314
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100173510A 05 OK
institution
Provider Business Practice Location Address Details
Address
1310 E Boone St
City
Tahlequah
State
Oklahoma
Zip
74464-3338
Phone Number
918-456-7700
Fax Number
918-458-9314
person
Provider Business Mailing Address Details
Address
1310 E Boone St
City
Tahlequah
State
Oklahoma
Zip
74464-3338
Phone Number
918-456-7700
Fax Number
918-458-9314
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
20370 (Oklahoma)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
20370 (Oklahoma)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Developmental - Behavioral Pediatrics
Taxonomy
2080P0006X
License No.
20370 (Oklahoma)
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
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