Individual
DR. JAMES ALLEN RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11150 HIGHWAY 49N, GULFPORT, MS 39503
(228) 575-1000
(228) 575-2002
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10487
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110800
—
MS
01
—
15183274
UBH
—
01
—
A118875
VALUE OPTIONS
—
Enumeration date
07/10/2006
Last updated
02/14/2019
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