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Organization
RUSTON L HESS
Active
Organization
RUSTON L HESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSTON L HESS D.O. (PRESIDENT/OWNER)
(386) 405-8791
Entity
Organization
Contact information
Practice address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES, JACKSONVILLE, FL 32212-0140
(619) 532-6684
Mailing address
3290 6TH AVE APT 4D, SAN DIEGO, CA 92103-5734
(386) 405-8791
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257942100
—
FL
Enumeration date
08/19/2005
Last updated
05/29/2012
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