Individual
JOSEPH TOOD GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19401 E 40 HWY STE 130, INDEPENDENCE, MO 64055-5400
(816) 509-7589
Mailing address
19401 E 40 HWY STE 130, INDEPENDENCE, MO 64055-5400
(816) 509-7589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6506
MO
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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