Individual provider · Type 1 NPI

Phillip Brent Reustle, PA-C

Surgical Physician Assistant · Spartanburg, SC

NPI number 1356537161 Active

Practice location

225 E Wood St
Spartanburg, SC 29303-3050

Call (864) 560-4420 Map

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Other practice locations

  • 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1825 · (803) 324-1950

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3367 (SC)
Surgical Physician Assistant Primary 363AS0400X3367 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1356537161

Phillip Brent Reustle, PA-C's National Provider Identifier is 1356537161, issued on Sep 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Spartanburg, SC. The record was last updated on Apr 18, 2024.