Individual
DR. REBECCA L BUSHONG
Active
Individual
DR. REBECCA L BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015967
ME
174400000X
Specialist
35050655
OH
207N00000X
Dermatology Physician
Primary
01036464A
IN
Other
Enumeration date
01/19/2006
Last updated
02/28/2013
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