Doctor Name: | DR. MICHAEL K. BUSH |
NPI Number: | 1356387328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14105 |
Business Practice Address: | 1140 N Rosemont Blvd Tucson, AZ - 857124813 |
Business Phone Number: | 5202983800 |
Business Fax Number: | |
Mailing Address: | 715 W Goldfinch Way, CHANDLER |
State: | AZ |
Postal Code: | 852483255 |
Phone Number: | 4806295025 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 14105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |