Individual
MR. FERNANDO JUAN BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
AUSPEX DIAMOND LLC ST # 2079, 9169 W STATE, GARDEN CITY, ID 83714
(304) 459-9808
Mailing address
AUSPEX DIAMOND LLC, 9169 W STATE ST # 2079, GARDEN CITY,, ID 83714
(304) 459-9808
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/25/2025
Last updated
09/30/2025
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