Individual
DR. MICHAEL R BOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 526-6608
Mailing address
2322 N NORRIS AVE, TUCSON, AZ 85719-3826
(319) 493-1361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R73221
AZ
Other
Enumeration date
07/19/2012
Last updated
04/17/2020
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