Individual
JEFFREY A. JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1030
(812) 352-4200
Mailing address
1700 SOUTH B ST., RICHMOND, IN 47374
(765) 969-3510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02000790
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373310
—
IN
Enumeration date
02/26/2007
Last updated
01/07/2013
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