All Medicaid billing entities listing GUSTAFSON, RYAN (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $2K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | KINGMAN CHIROPRACTIC CLINIC PC | KINGMAN, AZ | Chiropractor | $2K |