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Individual

DR. TIMOTHY JAMES ROBERT RUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1480 W LANE AVE, COLUMBUS, OH 43221-3919
(614) 533-5500
(614) 533-0103
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.121729
OH
2084N0600X
Clinical Neurophysiology Physician
Primary
35.121729
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090343
OH
Enumeration date
05/27/2009
Last updated
08/02/2024
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