Individual
BRIAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4034
Mailing address
1014 MAIN ST, CONWAY, AR 72032-5426
(501) 336-0511
(501) 336-4034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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