Individual
RICHARD WARREN BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
(480) 301-4988
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
(480) 301-4988
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
681332
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0483
AZ
367500000X
Certified Registered Nurse Anesthetist
RN143767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139718
—
AZ
01
—
86189U
BCBS OF TEXAS
TX
01
—
P00276523
PART B RAILROAD MEDICARE
TX
01
—
P00371681
RAILROAD MEDICARE
AZ
Enumeration date
10/20/2006
Last updated
11/08/2007
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