Individual
DUSTIN MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS016166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269315
MEDICARE
PA
Enumeration date
04/15/2010
Last updated
06/02/2014
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