Gary Dale Rusk in Terre Haute - Specialist

Gary Dale Rusk - NPI 1962404632

Gary Dale Rusk is a Specialist in Terre Haute, Indiana. Gary Dale Rusk practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Dale Rusk is 1962404632. The last update date is 2022-05-18.

Gary Dale Rusk's current location address is 3903 S 7th St, Terre Haute, Indiana. You can contact this provider via phone number 8122322100 and fax number 8122321980. The mailing address for Gary Dale Rusk is 3903 S 7th St, Terre Haute, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Dale Rusk
Address 3903 S 7th St, Terre Haute, Indiana
Phone Number 8122322100
Fax Number 8122321980
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1962404632
Provider Enumeration Date 2005-08-12
Last Updated Date 2022-05-18

Provider Mailing Address Detail

Address 3903 S 7th St
City Terre Haute
State Indiana (IN)
Post Code 478025710
Phone Number 8122322100
Fax Number 8122321980

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1039496
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200089010A IN --

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FAQs about Gary Dale Rusk

What is the Gary Dale Rusk's 1962404632?

The Gary Dale Rusk's NPI (National Provider Identifier) Number is 1962404632. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gary Dale Rusk is physically located?

The Gary Dale Rusk is situated at the following address: 3903 S 7Th St, Terre Haute, IN 478025710.

What is Gary Dale Rusk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gary Dale Rusk is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date was the 1962404632 assigned to Gary Dale Rusk?

The Gary Dale Rusk was issued its 1962404632 on 2005-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gary Dale Rusk's details last updated?

The information pertaining to the Gary Dale Rusk, including its address, specialty, and other details, was most recently updated on 2022-05-18.

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