NPI 1013775238

Riley B Busch, PAC

Practitioner Physician Assistant O Fallon, MO

Practice location

Address: 1101 Highway K, O Fallon, MO 63366-8431
Phone: (636) 379-6363
Mailing address: 1200 E Broadway, Columbia, MO 65201-4979

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2024006272 (MO)

Other Physician Assistant providers in Missouri →

Registry record

NPI: 1013775238
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2024
Record last updated: 5 Aug 2025

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.