# CRAIG ALLEN GUSTAFSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255417853
- **Authorized official:** CRAIG A GUSTAFSON MD (OWNER)
- **Authorized official phone:** (970) 242-1566

## Contact information

- **Practice address:** 2478 PATTERSON RD, SUITE 27, GRAND JUNCTION, CO 81505-1266
- **Practice address phone:** (970) 242-1566
- **Practice address fax:** (970) 263-0134
- **Mailing address:** PO BOX 6971, LINCOLN, NE 68506-0971
- **Mailing address phone:** (402) 486-7020
- **Mailing address fax:** (402) 434-6037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 01/31/2008