# WILLIAM STEPHEN BUSH, M.D., A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578557054
- **Authorized official:** WILLIAM S BUSH M.D. (PRESIDENT)
- **Authorized official phone:** (760) 366-6273

## Contact information

- **Practice address:** 6601 WHITE FEATHER RD, DEPT OF PATHOLOGY, JOSHUA TREE, CA 92252-6607
- **Practice address phone:** (760) 366-6273
- **Practice address fax:** (760) 366-6461
- **Mailing address:** 6601 WHITE FEATHER RD, DEPT OF PATHOLOGY, JOSHUA TREE, CA 92252-6607
- **Mailing address phone:** (760) 366-6273
- **Mailing address fax:** (760) 366-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 01/30/2014