Doctor Name: | GARY D RUSK |
NPI Number: | 1962404632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01039496 |
Business Practice Address: | 3903 S 7th St Suite 2d Terre Haute, IN - 478025710 |
Business Phone Number: | 8122322100 |
Business Fax Number: | 8122321980 |
Mailing Address: | 3903 S 7th St, Suite 2d TERRE HAUTE |
State: | IN |
Postal Code: | 478025710 |
Phone Number: | 8122322100 |
Fax Number: | 8122321980 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01039496 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |