Individual
JOSEPH A BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7694
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6434
(314) 289-7694
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2010015649
MO
Other
Enumeration date
02/05/2008
Last updated
04/03/2024
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