Individual
TODD BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 N GREENWOOD ST STE E, PUEBLO, CO 81003-3173
(719) 542-1313
(719) 542-9140
Mailing address
415 N GREENWOOD ST STE E, PUEBLO, CO 81003-3173
(719) 542-1313
(719) 542-9140
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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