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Individual

JOHN M. BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4376 GERMANNA HWY, LOCUST GROVE, VA 22508
(540) 972-7798
(540) 972-3536
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
0101057023
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5867924
VA
Enumeration date
07/10/2006
Last updated
08/08/2013
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