MR. JOHN T BUSH C PED NPI 1154405546

NPI Information

MR. John T Bush, C PED is a specialist in Northport, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. John T Bush, C PED NPI is 1154405546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

945 MCFARLAND BLVD
NORTHPORT, AL
ZIP 35476-374
Phone: (205) 339-4900
Fax: (205) 339-4976

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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