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DUSTYN G PASTORS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
MA059732
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093733933
OFFICE NPI
Enumeration date
04/02/2018
Last updated
06/11/2019
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