Individual
RUSSELL EDWARD BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8110
Mailing address
747 COYOTE HOLLOW RD, WAYNESVILLE, NC 28785-6524
(828) 627-3187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9500526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912014
—
NC
Enumeration date
06/23/2006
Last updated
04/17/2008
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