Dr TIMOTHY E BUSCH PA is a male medical professional, specializing in Physician Assistant. He graduated in 2005.
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
5600 EUBANK BLVD NE
SUITE 110
ALBUQUERQUE
NM
871111519
Tel: 5058801920
| Npi | 1346201704 |
| Pac Id | 2264449156 |
| Professional Enrollment Id | I20060407000425 |
| Last Name | BUSCH |
| First Name | TIMOTHY |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC |
| Group Practice Pac Id | 4082919691 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 5600 EUBANK BLVD NE |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871111519 |
| Phone Number | 5058801920 |
| Hospital Affiliation Ccn 1 | 320002 |
| Hospital Affiliation Lbn 1 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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