Organization
GARY A. RUST, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A RUST MD (MEDICAL DOCTOR)
(415) 626-4900
Entity
Organization
Contact information
Practice address
45 CASTRO ST, 210, SAN FRANCISCO, CA 94114-1010
(415) 626-4900
(415) 626-4901
Mailing address
45 CASTRO ST, 210, SAN FRANCISCO, CA 94114-1010
(415) 626-4900
(415) 626-4901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G84324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G843240
—
CA
Enumeration date
05/11/2007
Last updated
08/22/2020
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