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Individual
DR. STEFANIE NICOLE RUST
Active
Individual
DR. STEFANIE NICOLE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E8294
AR
207Q00000X
Family Medicine Physician
E8294
AR
207Q00000X
Family Medicine Physician
Q4269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201593001
—
AR
Enumeration date
06/21/2012
Last updated
01/23/2019
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