Individual
DR. STEVEN E BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-4746
(970) 259-5787
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(800) 953-0104
(303) 765-6640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26605
CO
2085R0001X
Radiation Oncology Physician
79-137
NM
2085R0001X
Radiation Oncology Physician
Primary
DR.0026605
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00078763
—
NM
05
—
01266055
—
CO
05
—
T0009
—
UT
Enumeration date
05/23/2005
Last updated
08/22/2019
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