Individual
DR. ROBERT EDWARD BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8860 CENTER DR, STE 300, LA MESA, CA 91942-3068
(619) 462-1670
(619) 462-3209
Mailing address
8860 CENTER DR, STE 300, LA MESA, CA 91942-3068
(619) 462-1670
(619) 462-3209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G27334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G273340
—
CA
Enumeration date
07/12/2005
Last updated
01/05/2009
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