Individual
PATRICK DEGEN BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1060 GAFFNEY RD, #7440, FORT WAINWRIGHT, AK 99703-5002
(907) 535-1433
Mailing address
1060 GAFFNEY RD, #7440, FORT WAINWRIGHT, AK 99703-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14775
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/09/2016
Last updated
05/14/2024
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