Provider Demographics
NPI:1194921254
Name:RUST, PAULA J (DO)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:J
Last Name:RUST
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:495 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3513
Mailing Address - Country:US
Mailing Address - Phone:334-279-9333
Mailing Address - Fax:
Practice Address - Street 1:495 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3513
Practice Address - Country:US
Practice Address - Phone:334-279-9333
Practice Address - Fax:334-279-9381
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1088207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology