Individual
ELIZABETH W BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 554-5111
Mailing address
1571 STANLEY DR, ERIE, CO 80516-6860
(303) 394-4659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
164860
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017097
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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