Individual provider · Type 1 NPI
Joseph A. Bushong, PA
Medical Physician Assistant · St. Louis, MO
NPI number
1386822013
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Fax (314) 289-7694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2010015649 (MO) |
Medical Physician Assistant: Definition to come...
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About NPI 1386822013
Joseph A. Bushong, PA's National Provider Identifier is 1386822013, issued on Feb 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Apr 3, 2024.