Troy E. Rustad, Md, Pc

NPI 1255751814 - Dermatology - 207N00000X

NPI Details
NPI 1255751814
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Position CEO
Phone (402) 420-0101
Fax (402) 420-9933
Practice Location
1919 S 40TH ST
LINCOLN NE, 68506-5243, US
Phone (402) 420-0101
Fax (402) 420-9933
Business Location
PO BOX 23108
LINCOLN NE, 68542-3108, US
Phone (402) 420-0101
Fax (402) 420-9933
Taxonomy Code 207N00000X
License State Nebraska
License Number 19665
Remove 1255751814 NPI Number

According to our database, Troy E. Rustad, Md, Pc NPI is 1255751814, taxonomy code is 207N00000X and license number is 19665, license state is located at Nebraska. Troy E. Rustad, Md, Pc physically located at 1919 S 40th St, Lincoln NE, 68506-5243. NPI Number 1033115704 has the healthcare provider type.

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1255751814 NPI number is provided on an as is basis without warranty of any kind. 1255751814 is maintained by the National Plan & Provider Enumeration System. The contents of Troy E. Rustad, Md, Pc are for informational purposes only.