Individual
PAUL E BUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MOR7N74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203312608
—
MO
01
—
27911
BLUECROSS BLUESHIELD MO
MO
Enumeration date
02/24/2006
Last updated
03/30/2011
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