Individual
DR. MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0033962
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86488821
—
CO
01
—
P01490975
MEDICARE RR
CO
Enumeration date
06/13/2005
Last updated
01/03/2017
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