Individual provider · Type 1 NPI
Marcel L. Gustin, PA-C
Medical Physician Assistant · Scott Afb, IL
NPI number
1144217076
Active
Practice location
375 Mdg
Scott Afb, IL 62225
Mailing address
310 W Losey St
Scott Afb, IL 62225-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Scott Afb
About NPI 1144217076
Marcel L. Gustin, PA-C's National Provider Identifier is 1144217076, issued on Oct 5, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Scott Afb, IL. The record was last updated on May 28, 2010.