Individual provider · Type 1 NPI

Ryan Dennis Gustafson, DC

Chiropractor · Kingman, AZ

NPI number 1407938798 Active

Practice location

1910 Lucille Ave, Suite 1
Kingman, AZ 86401-4693

Call (928) 753-2047 Map

Fax (928) 753-2020

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7156 (AZ)

Chiropractor: 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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About NPI 1407938798

Ryan Dennis Gustafson, DC's National Provider Identifier is 1407938798, issued on Oct 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kingman, AZ. The record was last updated on Jul 8, 2007.