Individual
DR. IAN DOW BUSHYHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14601 E 88TH PL N STE 308, OWASSO, OK 74055-4966
(918) 528-4733
(918) 528-4739
Mailing address
14601 E 88TH PL N STE 308, OWASSO, OK 74055-4966
(918) 528-4733
(918) 528-4739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4743
OK
Other
Enumeration date
07/01/2009
Last updated
02/07/2024
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