Individual
JERRY OTIS BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WELLINGTON AVE, GRAND JUNCTION, CO 81501
(970) 243-9000
(970) 245-4936
Mailing address
1000 WELLINGTON AVE, GRAND JUNCTION, CO 81501
(970) 243-9000
(970) 245-4936
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26622
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01266220
—
CO
Enumeration date
08/16/2006
Last updated
03/07/2023
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