Individual
DUSTIN RAY EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 W ANTHEM WAY, SUITE A109 PMB 313, ANTHEM, AZ 85086-0430
(623) 505-9880
(623) 505-9880
Mailing address
3655 W ANTHEM WAY, SUITE A109 PMB 313, ANTHEM, AZ 85086-0430
(623) 505-9880
(623) 505-9880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P9561
TX
208M00000X
Hospitalist Physician
Primary
50470
AZ
Other
Enumeration date
05/28/2011
Last updated
12/07/2022
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