Ethyn Dust

NPI #1073499620 in Fort Wayne, Indiana

Provider Information

NPI Number: 1073499620
Entity Type: Individual
Name: Ethyn Dust
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 11, 2025
Last Updated: Aug 11, 2025

Practice Location

Address: 7950 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4140
Phone: (260) 435-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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