Individual
PAUL E BUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 S WOODS MILL RD, SUITE 52 WEST, CHESTERFIELD, MO 63017-3662
(314) 434-2399
(314) 434-5650
Mailing address
17 CRESTWOOD DR, ST. LOUIS, MO 63015-3032
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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