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1023002573
STEPHEN MICHAEL BUSH
KENNETT, MO
NPI
1023002573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2000158294)
Enumeration Date
2005-09-09
Last Update Date
2014-07-23
Business Address
-- STEPHEN MICHAEL BUSH M.D.
509 SOUTH BYP
KENNETT, MO 63857-3248
Phone number: 573-888-0555
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Mailing Address
-- STEPHEN MICHAEL BUSH M.D.
PO BOX 405454
ATLANTA, GA 30384-5454
Phone number: 573-888-0555
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