NPI 1003070111

Robert Joel Bush, MD

Practitioner Addiction Medicine (Family Medicine) Physician Provo, UT

Practice location

Address: 750 N Freedom Blvd STE 300, Provo, UT 84601-1690
Phone: (801) 852-1443

Registered specialties

Addiction Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 10761618-1205 (UT)

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Registry record

NPI: 1003070111
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2008
Record last updated: 11 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.