Individual
DR. TROY CHARLES GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5601 N ORACLE RD, TUCSON, AZ 85704-3980
(520) 742-9395
(520) 742-0365
Mailing address
5601 N ORACLE RD, TUCSON, AZ 85704-3980
(520) 742-9395
(520) 742-0365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
A05548
IA
111N00000X
Chiropractor
Primary
AZ4859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0236370
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/01/2006
Last updated
07/05/2012
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