Individual
ZACHARY M. BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2980
(434) 924-1825
(434) 924-9616
Mailing address
3048 ALBERENE CHURCH LN, ESMONT, VA 22937-1516
(434) 566-7628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239018
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101239018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588733109
—
VA
Enumeration date
11/07/2006
Last updated
05/13/2010
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