Individual
DOUGLAS G BUSHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6245 SHERIDAN DR, SUITE 212, WILLIAMSVILLE, NY 14221-4834
(716) 204-4500
(716) 204-4500
Mailing address
2532 MONARCH BAY DR, LAS VEGAS, NV 89128-6883
(702) 328-7235
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3983
AZ
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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