| Robert E. Rust Md | |
|
1301 N Division Ave Sandpoint ID 83864-8268 | |
| (208) 263-1345 | |
| (208) 255-5531 |
| Full Name | Robert E. Rust Md |
|---|---|
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 1301 N Division Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Robert E Rust (PROVIDER) |
| Authorized Official Contact | 2082903567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E. Rust Md 1301 N Division Ave Sandpoint ID 83864-8268 Ph: (208) 263-1345 | Robert E. Rust Md 1301 N Division Ave Sandpoint ID 83864-8268 Ph: (208) 263-1345 |
| NPI Number | 1417513532 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417513532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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Brianna Thoreson, Msw, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478 | |
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