NPI 1194068437
Troy Jay Bushman, DO
Practice location
- Address
- 3200 Channing Way STE 306, Idaho Falls, ID 83404-7546
- Phone
- (208) 535-4400
- Fax
- (208) 535-4404
- Mailing address
- PO Box 741716, Atlanta, GA 30374-1716
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1194068437
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Apr 2013
- Record last updated
- 17 Jun 2021
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.