Individual
PAUL STEVEN GUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
4101 DARWIN CIR, CHARLOTTE, NC 28209-4914
(913) 553-8110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
255774
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
255774
NC
Other
Enumeration date
01/05/2015
Last updated
03/30/2015
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