Individual
CORA MACKENZIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
Mailing address
3903 N HAWTHORNE ST, SPOKANE, WA 99205-1333
(509) 655-0852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61360955
WA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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