Organization
RUSTAD DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY ELLIOTT RUSTAD M.D. (VICE PRESIDENT)
(402) 484-6222
Entity
Organization
Contact information
Practice address
1919 S 40TH ST, 330, LINCOLN, NE 68506-5243
(402) 484-6222
(402) 484-6253
Mailing address
1919 S 40TH ST, 330, LINCOLN, NE 68506-5243
(402) 484-6222
(402) 484-6253
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
11/27/2012
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