Individual
DR. HENRY TATNALL BUSH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2515 CALLE ALAMAR, CONDO ALHAMBRA PLAZA #306, PONCE, PR 00716-3862
(787) 259-2933
Mailing address
2515 CALLE ALAMAR, CONDO ALHAMBRA PLAZA #306, PONCE, PR 00716-3862
(787) 259-2933
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12988
PR
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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