| NPI | 1568651925 |
|---|---|
| Other Name | DR. DUST |
| Entity Type | Organization |
| Authorized Contact | EUGENE P. DUST President Of LLC 217-347-5917 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2017-08-01 |