JUSTIN DANIEL DEBUSCA

BRIDGEPORT, WV
NPI1497355218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  85837)
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
JUSTIN DANIEL DEBUSCA CRNA
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
Mailing Address
JUSTIN DANIEL DEBUSCA CRNA
2673 DAVISSON RUN RD STE 303
BRIDGEPORT, WV 26330
Phone number: 800-541-4009