MEDICARE: JAMES FRANCIS BUSH, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25049	CO

General Provider Information

NPI Number	:	1417197096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES FRANCIS BUSH, MD, PC

Provider Business Mailing Address
First Line	:	3817 LA MESA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-9528
Country	:	US
Telephone Number	:	970-493-2447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3817 LA MESA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-9528
Country	:	US
Telephone Number	:	970-493-2447
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES F BUSH
Credential	:	MD
Telephone Number	:	970-227-7270

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	10/31/2019

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