NPI 1255751814

Troy E. Rustad, MD, PC

Organisation Dermatology Physician Lincoln, NE

Practice location

Address: 1919 S 40th St Suite 330, Lincoln, NE 68506-5243
Phone: (402) 420-0101
Fax: (402) 420-9933
Mailing address: PO Box 23108, Lincoln, NE 68542-3108

Authorised official

Name: Troy Elliott Rustad
Title: Ceo
Phone: (612) 227-8769

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 19665 (NE)

Other Dermatology providers in Nebraska →

Registry record

NPI: 1255751814
Entity type: Organization
NPI issued: 22 Apr 2014
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.