| Doctor Name: | ADAM F DUSTIN |
| NPI Number: | 1043389026 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | E4254 |
| Business Practice Address: | 326 Encinitas Blvd Ste 100 Encinitas, CA - 920248703 |
| Business Phone Number: | 7604365533 |
| Business Fax Number: | 7604360611 |
| Mailing Address: | 326 Encinitas Blvd, Ste 100 ENCINITAS |
| State: | CA |
| Postal Code: | 920248703 |
| Phone Number: | 7604365533 |
| Fax Number: | 7604360611 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |