Organization
UROLOGY MEDICAL INC.
Active
Other names
Busch Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE BUSCH D.O. (PRESIDENT)
(386) 752-4189
Entity
Organization
Contact information
Practice address
4601 W US HIGHWAY 90, LAKE CITY, FL 32055-4880
(386) 752-4189
(386) 752-4213
Mailing address
4601 W US HIGHWAY 90, LAKE CITY, FL 32055-4880
(386) 752-4189
(386) 752-4213
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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