Mr. FERNANDO JUAN BUSBY PA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1649152992- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- AUSPEX DIAMOND LLC ST # 2079 9169 W STATE, GARDEN CITY, ID, 83714
- Phone
- (304) 459-9808
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: NY