Organization
WILLIAM STEPHEN BUSH, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S BUSH M.D. (PRESIDENT)
(760) 366-6273
Entity
Organization
Contact information
Practice address
6601 WHITE FEATHER RD, DEPT OF PATHOLOGY, JOSHUA TREE, CA 92252-6607
(760) 366-6273
(760) 366-6461
Mailing address
6601 WHITE FEATHER RD, DEPT OF PATHOLOGY, JOSHUA TREE, CA 92252-6607
(760) 366-6273
(760) 366-6461
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390650
—
CA
Enumeration date
09/09/2005
Last updated
01/30/2014
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