Individual
MARY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 W 86TH ST STE 202, INDIANAPOLIS, IN 46260-1904
(317) 704-1084
(317) 704-1087
Mailing address
7659 NOEL RD, INDIANAPOLIS, IN 46278-1571
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01029791A
IN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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