Individual
ERIC ALBERT GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NORTHUP WAY, BELLEVUE, WA 98004-1463
(425) 827-4600
Mailing address
14711 NE 29TH PL, SUITE #255, BELLEVUE, WA 98007-7666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048546
WA
Other
Enumeration date
08/30/2006
Last updated
09/26/2011
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