Individual
VERONICA J RUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302-2020
(623) 295-0787
(313) 241-9327
Mailing address
5115 N DYSART RD STE 202-152, LITCHFIELD PARK, AZ 85340-3032
(904) 631-4939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7122
NE
208D00000X
General Practice Physician
Primary
007469
AZ
Other
Enumeration date
08/10/2012
Last updated
10/15/2019
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