Individual provider · Type 1 NPI
Edward Ernest Gustavson, MD
Developmental - Behavioral Pediatrics Physician · Tahlequah, OK
Practice location
1310 E Boone St
Tahlequah, OK 74464-3338
Fax (918) 458-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental - Behavioral Pediatrics Physician Primary | 2080P0006X | 20370 (OK) |
| Pediatrics Physician | 208000000X | 20370 (OK) |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 20370 (OK) |
Developmental - Behavioral Pediatrics Physician: 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…
6 other providers at this address
- Northeastern Oklahoma Community Health Centers IncFederally Qualified Health Center (FQHC) Tahlequah, OK NPI 1376513002
- Gary Lynn Gaston, MDPediatrics Physician Tahlequah, OK NPI 1134326564
- Gena PowersPediatric Nurse Practitioner Tahlequah, OK NPI 1407106180
- Kristi Dawn Haney, APRNFamily Nurse Practitioner Tahlequah, OK NPI 1235676966
- Megan Melott Moss, DOPediatrics Physician Tahlequah, OK NPI 1164099073
- Naveed Siddique, MDPediatrics Physician Tahlequah, OK NPI 1720122914
About NPI 1386674182
Edward Ernest Gustavson, MD's National Provider Identifier is 1386674182, issued on Jul 4, 2006. The primary taxonomy on file is Developmental - Behavioral Pediatrics Physician (2080P0006X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 29, 2013.