Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK LEROY GUSTAFSON, D.O.
ActiveDR. MARK LEROY GUSTAFSON, D.O. is a Emergency Medicine healthcare provider located in CHARLESTON, West Virginia. NPI 1851667000 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CHARLESTON, WV
Registration Details
- NPI Number
- 1851667000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2012 (14.363082359434 yrs)
- Last Updated
- Dec 16, 2016
- License
-
2723 (WV)
Practice Information
- Address
-
3110 MACCORKLE AVE SECHARLESTON, WV, 253041210Browse WV providers · Browse ZIP 25304
- Phone
- 3043887170
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| DR. BRENDAN O'HARA | MD | 1609852920 |
| DR. GEORGE PULLIN | MD | 1437135530 |
| DR. JOHN TURLEY | MD | 1124004239 |
| DR. DAVID SEIDLER | MD | 1962488072 |
| DR. LEON S. KWEI | MD | 1831176171 |
| DR. CHRISTOPHER LAMBERT | MD | 1710964069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.