Individual
DR. RONALD E PUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 E CALLE ALTA VIS, TUCSON, AZ 85719-3202
(520) 626-7822
(520) 626-6134
Mailing address
2003 E CALLE ALTA VIS, TUCSON, AZ 85719-3202
(520) 626-7822
(520) 626-6134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11403
ARIZONA MEDICAL LICENSE
AZ
01
—
24776
USPHS COM.CORPS. NO.
—
05
—
53359551
—
NM
Enumeration date
07/28/2006
Last updated
07/08/2007
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