Individual
DR. JUSTIN BRADLEY NAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2470 HILBORN RD STE 100, FAIRFIELD, CA 94534-1100
(707) 646-4600
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433
(623) 330-5985
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
C172660
CA
2083A0100X
Aerospace Medicine Physician
Primary
C172660
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
C172660
CA
Other
Enumeration date
08/26/2005
Last updated
01/18/2024
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