Individual
DR. STEPHEN M BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2385 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 739-2220
(804) 739-2164
Mailing address
2385 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
(804) 739-2220
(804) 739-2164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0102037038
VA
207W00000X
Ophthalmology Physician
Primary
0102037038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG4658
MEDICARE R/R
VA
Enumeration date
03/28/2007
Last updated
02/01/2008
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