NPI 1811127624
Matthew Bussard, EMTPARAMEDIC
Practice location
- Address
- 602 Ash St, Beech Grove, IN 46107-2032
- Phone
- (317) 339-4505
- Fax
- (317) 787-2802
Registered specialties
Paramedic
Primary
Registry record
- NPI
- 1811127624
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jul 2009
- Record last updated
- 15 Jul 2009
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.