Individual
DR. ROBERT LEE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.,R.N.
Contact information
Practice address
10016 OFFICE CENTER AVE, SUITE 100, SAINT LOUIS, MO 63128-1468
(314) 720-0855
(314) 735-4335
Mailing address
10016 OFFICE CENTER AVE, SUITE 100, SAINT LOUIS, MO 63128-1468
(314) 720-0855
(314) 735-4335
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000373
MO
Other
Enumeration date
04/07/2012
Last updated
10/08/2012
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