Individual
DR. DAVID G RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 FOREST AVE, MEADVILLE, PA 16335-1319
(814) 573-4335
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD052978-L
PA
207L00000X
Anesthesiology Physician
052978L
PA
207L00000X
Anesthesiology Physician
Primary
MD052987L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014688090001
—
PA
05
—
1468809
—
PA
Enumeration date
08/31/2005
Last updated
03/05/2018
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