Individual
BILLY RAY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 S STATE AVE, SUITE 302, INDIANAPOLIS, IN 46201-3802
(903) 742-6120
Mailing address
55 S STATE AVE, INDIANAPOLIS, IN 46201-3802
(903) 742-6120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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