Individual
GUSTAV W HALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 THREE SPRINGS BLVD, STE 110, DURANGO, CO 81301-8296
(970) 764-2750
(970) 764-2778
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DR-38630
CO
207RP1001X
Pulmonary Disease Physician
DR-38630
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38630
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98285050
—
CO
Enumeration date
02/09/2006
Last updated
07/09/2009
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