Individual
DR. ROBERT ALFRED BUSH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 BEAVER ST, SAN FRANCISCO, CA 94114-1514
(415) 621-8175
(415) 252-8131
Mailing address
2261 MARKET ST # 158, SAN FRANCISCO, CA 94114-1600
(415) 621-8175
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A23336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A233360
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A233360
—
CA
01
—
A23336
BLUE CROSS OF CALIFORNIA
CA
Enumeration date
11/09/2006
Last updated
10/18/2017
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