| Ethyn Dust, | |
| 
					7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140  | |
| (260) 435-7001 | |
| Not Available | 
| Full Name | Ethyn Dust | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 7950 W Jefferson Blvd, Fort Wayne, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073499620 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ethyn Dust, 7705 Tipperary Trl, Fort Wayne, IN 46815-8137 Ph: (217) 690-8385  | Ethyn Dust, 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 435-7001  | 
Macy Marie Bradbury,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065  | |
Abigail Mckensey Gann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060  | |
Miss Jacqueline Langer,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001  | |
Mr. Christopher A Fegley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804 Phone: 260-458-3555 Fax: 260-458-3530  | |
Ms. Debra Lammers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065  | |
Ms. Kari M Rasmussen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000  | |
Mr. Thomas G Edwards, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2200 Randallia Dr, Fort Wayne, IN 46805 Phone: 260-373-4000 Fax: 260-482-4442  |