Physician Compare National (NPI:1922286194)

HEALTHCARE PROVIDER: DUSTIN KIRK DRUSSEL D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922286194
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577634468
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080620000118
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRUSSEL
	Individual professional last name
Provider First Name	DUSTIN
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	61 W UNIVERSITY PKWY
	Group Practice or individual's line 1 address
City	OREM
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	840587333
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y