Individual
SCOTT D RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 SHADY LN, POPLAR BLUFF, MO 63901-2117
(210) 323-6733
Mailing address
2850 SHADY LN, POPLAR BLUFF, MO 63901-2117
(210) 323-6733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R050225
AR
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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