Individual
JOHN PHILLIP BUSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 W NURSERY, BUTLER, MO 64730
(660) 200-7000
(660) 200-7015
Mailing address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
(660) 200-7004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010020881
MO
Other
Enumeration date
07/02/2007
Last updated
05/05/2020
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