| Doctor Name: | MARC R BUSH |
| NPI Number: | 1285701342 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 6587 |
| Business Practice Address: | Montevista Hospital 5900 W Rochelle Ave Las Vegas, NV - 89103 |
| Business Phone Number: | 7024778046 |
| Business Fax Number: | 7028732710 |
| Mailing Address: | 6170 W Lake Mead Blvd, # 305 LAS VEGAS |
| State: | NV |
| Postal Code: | 891082661 |
| Phone Number: | 7024778046 |
| Fax Number: | 7028732710 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 06/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 6587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |