Individual
DR. BO MARCUS GUSTAFSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL GME OFFICE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL GME OFFICE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21577
NV
Other
Enumeration date
04/28/2017
Last updated
11/29/2021
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