NPI 1023021102

Jeremy J Busch, MEDATC

Practitioner Specialist Fort Collins, CO

Practice location

Address: 141 Moby Arena 0120 Athletic Training, Fort Collins, CO 80523-0120
Phone: (970) 491-0272
Mailing address: 1025 Cunningham Dr, Fort Collins, CO 80526-5931

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Colorado →

Registry record

NPI: 1023021102
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2006
Record last updated: 8 Jul 2007

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.