Individual
MR. MATTHEW BUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-PARAMEDIC
Contact information
Practice address
602 ASH ST, BEECH GROVE, IN 46107-2032
(317) 339-4505
(317) 787-2802
Mailing address
602 ASH ST, BEECH GROVE, IN 46107-2032
(317) 339-4505
(317) 787-2802
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
49-51970
IN
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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