Individual
CHRISTOPHER ALAN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 JT STITES, SALLISAW, OK 74955
(918) 775-9159
Mailing address
301 JT STITES, SALLISAW, OK 74955
(918) 775-9159
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0109472
OK
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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