person
Dr. Ryan Dennis Gustafson, DC
Chiropractor in Kingman, Arizona
NPI 1407938798

Ryan Dennis Gustafson is a Chiropractor based in Kingman, AZ. Ryan Dennis Gustafson practices in Kingman, AZ and has the professional credentials of DC. The NPI Number for Ryan Dennis Gustafson is 1407938798 and holds a License No. 7156 (Arizona).

The current practice location address for Ryan Dennis Gustafson is 1910 Lucille Ave, Kingman, AZ and can be reached out via phone at 928-753-2047 and via fax at 928-753-2020. You can also correspond with Ryan Dennis Gustafson through the mailing address at 1910 LUCILLE AVE, KINGMAN, AZ - 86401-4693 (mailing address contact number: 928-753-2047).

Location: 1910 Lucille Ave, Kingman, AZ, 86401-4693
person
Provider Profile Details
NPI Number
1407938798
Provider Name
Ryan Dennis Gustafson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1910 Lucille Ave, Kingman, AZ, 86401-4693
Phone Number
928-753-2047
Fax Number
928-753-2020
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3142303 01 AZ AETNA
AZ0937240 01 AZ BC/BS OF AZ
1212439 01 CA CHIROSOURCE OF CA.
1Z5906 01 AZ HEALTH NET
5291063 01 AZ CCN/FIRST HEALTH
692659 05 AZ
229944 01 AZ AP/IPA (AHCCCS)
institution
Provider Business Practice Location Address Details
Address
1910 Lucille Ave
City
State
Zip
86401-4693
Phone Number
928-753-2047
Fax Number
928-753-2020
person
Provider Business Mailing Address Details
Address
1910 Lucille Ave
City
State
Zip
86401-4693
Phone Number
928-753-2047
Fax Number
928-753-2020
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
7156 (Arizona)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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