Individual
RILEY B BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 HIGHWAY K, O FALLON, MO 63366-8431
(636) 379-6363
Mailing address
1200 E BROADWAY, COLUMBIA, MO 65201-4979
(573) 876-7105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024006272
MO
Other
Enumeration date
03/12/2024
Last updated
08/05/2025
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