Charlene Elaine Reust, PA

NPI #1588669428 in Waynoka, Oklahoma

Provider Information

NPI Number: 1588669428
Entity Type: Individual
Name: Charlene Elaine Reust, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 16, 2005
Last Updated: Oct 17, 2018

Practice Location

Address: 1084 NICKERSON ST
City: Waynoka
State: Oklahoma
ZIP Code: 73860
Phone: (580) 824-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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