Individual
DR. EMILY ASTA HANSEN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2254
(307) 234-6161
Mailing address
1522 E A ST, CASPER, WY 82601-2254
(307) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216-T2
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2019
Last updated
04/10/2026
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