Organization
STEPHEN T. BUSHI, M.D.
Active
Organization
STEPHEN T. BUSHI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A WILKINS (OFFICE MANAGER)
(208) 658-0800
Entity
Organization
Contact information
Practice address
1902 JUDITH LN, SUITE 110, BOISE, ID 83705-5235
(208) 658-0800
Mailing address
1902 JUDITH LN, SUITE 110, BOISE, ID 83705-5235
(208) 658-0800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-5492
ID
363LF0000X
Family Nurse Practitioner
NP-379A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003533000
—
ID
Enumeration date
01/03/2007
Last updated
01/26/2010
Update your record
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