Individual provider · Type 1 NPI

Crystal Anne Brust, PA-C

Surgical Physician Assistant · Roseville, CA

NPI number 1861724353 Active

Practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Mailing address

9351 Ox Bow Ln
Loomis, CA 95650-8841

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X20824 (CA)
Surgical Physician Assistant Primary 363AS0400X20824 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1861724353

Crystal Anne Brust, PA-C's National Provider Identifier is 1861724353, issued on Feb 8, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roseville, CA. The record was last updated on Feb 11, 2022.