Individual
DR. CHARLES RALPH BUSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 OLENTANGY RIVER RD, #5320, COLUMBUS, OH 43214-3937
(614) 263-9071
Mailing address
1493 JEWETT RD, POWELL, OH 43065-9735
(614) 888-7468
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
39197
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435069
—
OH
Enumeration date
12/07/2005
Last updated
07/09/2007
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