Individual
MR. CALVIN AMOS BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
701 N C ST, INDIANOLA, IA 50125-1202
(515) 961-1721
Mailing address
701 N C ST, INDIANOLA, IA 50125-1202
(515) 961-1721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000805
IA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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