Individual
DR. GEORGE STABEN RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 ROBERTS AVE, TALLAHASSEE, FL 32310-5007
(850) 644-1543
(855) 230-7421
Mailing address
1115 W CALL ST, FSU-COM, DEPT OF BSSM, TALLAHASSEE, FL 32304-3556
(850) 644-1543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME46256
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME46256
FL
Other
Enumeration date
02/26/2007
Last updated
01/14/2021
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