Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0101251755 | VA |
N | 207P00000X | Emergency Physician | 2011-0267 | NC |
NPI | 1003019720 |
---|---|
Provider Name | Dr. Nathan Lee Maust |
First Address | Harrisonburg, VA 22801-1668 |
Second Address | Fishersville, VA 22939-2332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 25/06/2012 |