MR. Fernando Juan Busby, PA
NPI #1649152992 in Garden City, Idaho
Provider Information
- NPI Number
- 1649152992
- Entity Type
- Individual
- Name
- MR. Fernando Juan Busby, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jul 25, 2025
- Last Updated
- Sep 30, 2025
Practice Location
- Address
- AUSPEX DIAMOND LLC ST # 2079
- Address 2
- 9169 W STATE
- City
- Garden City
- State
- Idaho
- ZIP Code
- 83714
- Phone
- (304) 459-9808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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