MR. Forrest K Busch JR., DO

NPI #1063425791 in Dyersburg, Tennessee

Provider Information

NPI Number: 1063425791
Entity Type: Individual
Name: MR. Forrest K Busch JR., DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: Aug 14, 2006
Last Updated: Sep 10, 2015

Practice Location

Address: 1950 COOK ST
City: Dyersburg
State: Tennessee
ZIP Code: 38024
Phone: (731) 286-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Allergy & Immunology	207K00000X
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Forrest Kenton Busch, D.o. P.c.	Dermatology	Dyersburg	AI Deep Dive

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