Kenneth James Busch M.D.

NPI 1063404200 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1063404200
Gender Male
Enumeration Date 08/15/2005
Last Updated 12/13/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2119 E SOUTHERN AVE
TEMPE AZ, 85282-7503, US
Phone (480) 831-1844
Fax (480) 383-2685
Business Location
2119 E SOUTHERN AVE
TEMPE AZ, 85282-7503, US
Phone (480) 831-1844
Fax (480) 383-2685
Toxanomy
Taxonomy Code 207V00000X
License State Arizona
License Number 8573
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According to our database, Dr. Kenneth James Busch M.D. NPI is 1063404200, taxonomy code is 207V00000X and license number is 8573, license state is located at Arizona. Kenneth James Busch M.D. physically located at 2119 E Southern Ave, Tempe AZ, 85282-7503. NPI Number Kenneth James Busch M.D. has the Individual type.

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1063404200 NPI number is provided on an as is basis without warranty of any kind. 1063404200 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth James Busch M.D. are for informational purposes only.