Individual
ELISA THELYS BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4815 LIBERTY AVE STE GR59, PITTSBURGH, PA 15224-2156
(412) 578-3951
(412) 578-1587
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
9139074-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD473449
PA
Other
Enumeration date
04/11/2012
Last updated
05/14/2026
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