Whalio Doctors

NPI 1194068437

Troy Jay Bushman, DO

Practitioner Physical Medicine & Rehabilitation Physician Idaho Falls, ID

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence O-1521 (ID)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 007103 (AZ)

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.