Individual
DR. DARRACK L BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4857 STATE ROUTE 5, VERNON, NY 13476-3530
(315) 953-4103
(315) 953-4138
Mailing address
4857 STATE ROUTE 5, VERNON, NY 13476
(315) 953-4103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009380
NY
Other
Enumeration date
12/20/2006
Last updated
05/24/2010
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