Organization
CLINICAL NEUROSCIENCE ASSOCIATES, INC.
Active
Other names
CNSA Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON M GUSTAFSON MD (PRESIDENT)
(479) 434-2743
Entity
Organization
Contact information
Practice address
1501 S WALDRON RD STE 202, FORT SMITH, AR 72903-2598
(479) 434-2743
(844) 454-8351
Mailing address
300 S 8TH ST, SUITE 380W, MURRAY, KY 42071-2400
(270) 753-8656
(270) 767-3630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890482800
—
KY
Enumeration date
01/18/2007
Last updated
02/28/2018
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