Individual
MR. JOSEPH EDWARD BUSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3200
Mailing address
297 CURRAGH CV, FUQUAY VARINA, NC 27526-8798
(513) 600-6562
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10707
NC
363A00000X
Physician Assistant
Primary
50.005167RX
OH
Other
Enumeration date
08/09/2017
Last updated
11/09/2020
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