Individual
JOHN LLOYD FUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7710
Mailing address
443 SUMMIT RD, WATSONVILLE, CA 95076-9781
(831) 254-7852
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G47866
CA
Other
Enumeration date
02/26/2007
Last updated
12/16/2011
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