Individual
JACOB O RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DR STE 340, INDIANAPOLIS, IN 46202-5116
(317) 688-5500
Mailing address
1116 PROSPECT LN, OREFIELD, PA 18069-9068
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01094023A
IN
208800000X
Urology Physician
Primary
4301515401
MI
208800000X
Urology Physician
R77341
AZ
Other
Enumeration date
04/11/2019
Last updated
10/02/2025
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