| Doctor Name: | CHARLES BUSER |
| NPI Number: | 1790850337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MD00015169 |
| Business Practice Address: | 3000 Limited Ln Nw Olympia, WA - 985022704 |
| Business Phone Number: | 3603579392 |
| Business Fax Number: | 3605283049 |
| Mailing Address: | 3000 Limited Ln Nw, OLYMPIA |
| State: | WA |
| Postal Code: | 985022704 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00015169 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |