Individual
DR. JOHN DAVID HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3660 PARK SIERRA DR, STE 105, RIVERSIDE, CA 92505-3081
(951) 278-8870
(951) 278-8913
Mailing address
PO BOX 2828, CORONA, CA 92878-2828
(951) 278-8870
(951) 278-8913
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G68530
CA
Other
Enumeration date
03/01/2007
Last updated
01/03/2013
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