Individual
MR. JOHN A. BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED ORTHOTIST
Contact information
Practice address
540 MADISON OAK DR STE 270, SAN ANTONIO, TX 78258-3930
(210) 509-9176
Mailing address
6135 KENEDY LEAF, SAN ANTONIO, TX 78253-5513
(210) 863-0561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
186
TX
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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