Forrest Kenton Busch, D.o. P.c.

NPI 1740483692 - Independent Medical Examiner - 202C00000X

NPI Details
NPI 1740483692
Enumeration Date 06/07/2007
Last Updated 07/22/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DENISE ANN DENISE
Position OFFICE MANAGER
Phone (731) 286-4300
Fax (731) 286-8008
Practice Location
1950 COOK ST
DYERSBURG TN, 38024, US
Phone (731) 286-4300
Fax (731) 286-8008
Business Location
1950 COOK ST
DYERSBURG TN, 38024, US
Phone (731) 286-4300
Fax (731) 286-8008
Toxanomy
Taxonomy Code 202C00000X
License State Tennessee
License Number DO0000000839
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According to our database, Forrest Kenton Busch, D.o. P.c. NPI is 1740483692, taxonomy code is 202C00000X and license number is DO0000000839, license state is located at Tennessee. Forrest Kenton Busch, D.o. P.c. physically located at 1950 Cook St, Dyersburg TN, 38024. NPI Number 1033115704 has the healthcare provider type.

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1740483692 NPI number is provided on an as is basis without warranty of any kind. 1740483692 is maintained by the National Plan & Provider Enumeration System. The contents of Forrest Kenton Busch, D.o. P.c. are for informational purposes only.