Individual
DR. ANDREW THOMAS DUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3121 S PARK AVE, HERRIN, IL 62948-3785
(618) 942-5465
Mailing address
PO BOX 550, CARTERVILLE, IL 62918-0550
(618) 942-5465
(618) 942-7042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011866
IL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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