Individual
DR. JON M GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 N GREENWOOD AVE, FORT SMITH, AR 72901-3454
(479) 434-2743
(844) 454-8351
Mailing address
7009 NAPLES WAY, FORT SMITH, AR 72916-8701
(479) 431-7234
(844) 454-8351
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
29264
KY
2084N0400X
Neurology Physician
Primary
E-5459
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167300001
—
AR
05
—
200126290A
—
OK
Enumeration date
05/10/2006
Last updated
05/02/2026
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