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NPI Code Detail

MEDICARE: DR. THOMAS A BUSHUR D.C.

MEDICARE: DR. THOMAS A BUSHUR D.C.
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
1111N00000XChiropractor5395CO

General Provider Information

NPI Number : 1487764627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS A BUSHUR D.C.
Provider Business Mailing Address
First Line : 245 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-2713
Country : US
Telephone Number : 719-574-6006
Fax Number : 719-574-7365
Provider Business Practice Location Address
First Line : 245 S ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-2713
Country : US
Telephone Number : 719-574-6006
Fax Number : 719-574-7365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS A BUSHUR D.C.” Practice Location

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