Individual
RYAN BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 S 1200 W, PLEASANT GROVE, UT 84062-2984
(916) 208-6295
Mailing address
35 S 1200 W, PLEASANT GROVE, UT 84062-2984
(916) 208-6295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12315115-1206
UT
Other
Enumeration date
09/11/2014
Last updated
05/20/2024
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