Individual
MONICA R GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-7747
(520) 626-2247
Mailing address
1501 N CAMPBELL AVE, P.O. BOX 245066, TUCSON, AZ 85724-0001
(520) 626-7747
(520) 626-2247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82000
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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