Organization
MARY D BUSH, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BUSH MD (PRESIDENT)
(317) 704-1084
Entity
Organization
Contact information
Practice address
2160 W 86TH ST, SUITE 202, INDIANAPOLIS, IN 46260-1907
(317) 704-1084
(317) 704-1087
Mailing address
2160 W 86TH ST, SUITE 202, INDIANAPOLIS, IN 46260-1907
(317) 704-1084
(317) 704-1087
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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