NPI 1457568206

Tammy Rust

Practitioner Specialist Springfield, OH

Practice location

Address: 2772 Dwight Rd, Springfield, OH 45503-5053
Phone: (260) 503-1151

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OTA 03539 (OH)

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Registry record

NPI: 1457568206
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

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.