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NPI Code Detail

MEDICARE: DR. STEVEN E BUSH MD

MEDICARE:  DR. STEVEN E BUSH  MD
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
1174400000XSpecialist26605CO
22085R0001XRadiation Oncology Physician79-137NM
32085R0001XRadiation Oncology PhysicianDR.0026605CO

Other Identifiers

General Provider Information

NPI Number : 1780687889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN E BUSH MD
Provider Business Mailing Address
First Line : PO BOX 911057
Second Line :
City : DENVER
State : CO
Zip : 80291-1057
Country : US
Telephone Number : 800-953-0104
Fax Number : 303-765-6640
Provider Business Practice Location Address
First Line : 1 MERCADO ST
Second Line : SUITE 100
City : DURANGO
State : CO
Zip : 81301-7306
Country : US
Telephone Number : 970-385-4746
Fax Number : 970-259-5787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/22/2019

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Directions to “ DR. STEVEN E BUSH MD” Practice Location

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