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Organization
RONALD B BUSH MD A PROFESSIONAL CORPORATION
Active
Organization
RONALD B BUSH MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B BUSH MD (OWNER)
(760) 200-2992
Entity
Organization
Contact information
Practice address
45280 CLUB DR, INDIAN WELLS, CA 92210-8860
(760) 200-2992
(760) 200-2993
Mailing address
PO BOX 13430, PALM DESERT, CA 92255-3430
(760) 200-2992
(760) 200-2993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A553069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A5530691
—
CA
Enumeration date
03/20/2008
Last updated
02/28/2013
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