Individual
GEORGE C GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Mailing address
1400 E BOULDER ST, STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 365-9950
(719) 365-9969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43485
CO
Other
Enumeration date
09/18/2005
Last updated
06/28/2018
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