Paul Russell Gustavson, PA-C

Physician Assistant · Eureka, CA

Individual Active NPI

NPI number 1295754752

Practice location

2826 Harris St
Eureka, CA 95503-4809
Phone
(707) 443-8066
Fax
(707) 268-3250

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NPI record

NPI
1295754752
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
November 2, 2021
Certified
November 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA17059 CA

About Paul Gustavson

Paul Russell Gustavson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2826 Harris St, Eureka, CA 95503-4809. The NPI number 1295754752 was assigned on July 18, 2006 and the record was last updated on November 2, 2021.

Paul Gustavson lists a license in the registry: #PA17059 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul Russell Gustavson, PA-C?

The NPI number is 1295754752.

What is the phone number of Paul Gustavson?

The phone number listed for the practice location is (707) 443-8066.

Where is Paul Gustavson located?

2826 Harris St, Eureka, CA 95503-4809.

What is the taxonomy code for Paul Gustavson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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