Individual
MR. PHILIP GERALD BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 434-1500
(314) 205-6214
Mailing address
3104 POST RUN DR, O FALLON, MO 63368-7049
(636) 561-9275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
112765
MO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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