Individual
DAVID BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R032645
SD
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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