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Individual
MARK BUSHAW
Active
Individual
MARK BUSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101270923
VA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101270923
VA
208D00000X
General Practice Physician
0101270923
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/16/2019
Last updated
06/11/2026
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