Provider Demographics
NPI:1063688182
Name:DUSTIN-HESS, SIMONE M
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:M
Last Name:DUSTIN-HESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIMONE
Other - Middle Name:M
Other - Last Name:DUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 956
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0956
Mailing Address - Country:US
Mailing Address - Phone:877-212-6920
Mailing Address - Fax:
Practice Address - Street 1:2010 HEALTH CAMPUS DR
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, ROCKINGHAM MEMORIAL HOSPITAL
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-6670
Practice Address - Fax:540-689-6671
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246575207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology