Individual
DR. ROBERT EDWARD RUST JR.
Active
Individual
DR. ROBERT EDWARD RUST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M3004
ID
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
M-3004
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112500019
—
ID
Enumeration date
12/22/2006
Last updated
10/17/2013
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