Provider Demographics
NPI:1497915961
Name:CASE, DUSTIN G (DO)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:G
Last Name:CASE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1850 E PARK AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6706
Mailing Address - Country:US
Mailing Address - Phone:814-234-8800
Mailing Address - Fax:814-235-1133
Practice Address - Street 1:3901 S ATHERTON ST STE 2
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-8324
Practice Address - Country:US
Practice Address - Phone:814-278-4631
Practice Address - Fax:814-278-4685
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAOS013440207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine