Organization
TROY E. RUSTAD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY ELLIOTT RUSTAD M.D. (CEO)
(612) 227-8769
Entity
Organization
Contact information
Practice address
1919 S 40TH ST, SUITE 330, LINCOLN, NE 68506-5243
(402) 420-0101
(402) 420-9933
Mailing address
PO BOX 23108, LINCOLN, NE 68542-3108
(402) 420-0101
(402) 420-9933
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19665
NE
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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