Individual
JONATHAN P BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1728 CLARKSON RD, SUITE D, CHESTERFIELD, MO 63017-4976
(314) 821-8258
(314) 821-3476
Mailing address
6 VICTORY DRIVE, LIBERTY, MO 64068-1972
(816) 883-2660
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2007028938
MO
Other
Enumeration date
09/07/2012
Last updated
03/19/2014
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