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Individual

DR. DENNIS W AUST

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(800) 424-3672
(954) 377-3042
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10755
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016780
MS
Enumeration date
06/18/2006
Last updated
07/08/2007
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