Individual provider · NPI-1

Dr. Ronald G. Bush, M.D.

Surgery · Palm Beach Gardens, FL

NPI number1578565461
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1578565461
Entity type
Individual (NPI-1)
Name
Dr. Ronald G. Bush
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 11, 2005
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryME117113FLYes
174400000X Specialist35048632BOH

Practice location

600 Village Square Xing
Palm Beach Gardens, FL 33410-4543

Phone 561-693-0540 · Fax 561-296-6174

Mailing address

600 Village Square Xing
Palm Beach Gardens, FL 33410-4543

Phone 561-693-0540 · Fax 561-296-6174

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