# DR. STEPHEN HAROLD BUSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013980416
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 13491 | WV | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001722081 | BLUE CROSS | WV |
| 05 | — | 0091168000 | — | WV |
| 01 | — | 245048 | MAMSI UNITED HEALTH CARE | WV |
| 01 | — | 4245361 | AETNA | WV |
| 01 | — | 550691297 | 4 MOST | WV |