Individual
DR. JEFFERY BURL BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
903 N BOWIE AVE, WILLCOX, AZ 85643-1145
(520) 384-4291
(520) 384-5175
Mailing address
900 W SCOTT ST, WILLCOX, AZ 85643-1017
(520) 384-4421
(520) 384-4645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080033326
PALMETTO GBA RR MEDICARE
AZ
Enumeration date
10/16/2006
Last updated
08/09/2017
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