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Individual

KAREN ANN GUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2384 FERGUSON RD, ALLISON PARK, PA 15101
(412) 486-1043
(412) 486-5619
Mailing address
2384 FERGUSON RD, ALLISON PARK, PA 15101
(412) 486-1043
(412) 486-5619

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000710
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
368587
HIGHMARK BLUE CROSS
PA
01
410049150
RAILROAD MEDICARE
PA
Enumeration date
12/06/2006
Last updated
11/07/2012
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