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1013775238
RILEY B BUSCH
BALLWIN, MO
NPI
1013775238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2024006272)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
RILEY B BUSCH PA-C
13861 MANCHESTER RD
BALLWIN, MO 63011-4503
Phone number: 636-220-9333
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Mailing Address
RILEY B BUSCH PA-C
1200 E BROADWAY
COLUMBIA, MO 65201-4979
Phone number: 573-876-7105
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