Ryan Busch Valid NPI
Individual provider · Physician Assistant · Pleasant Grove, UT
- NPI
- 1831590504
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 12315115-1206 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-09-11
- Last updated
- 2024-05-20
Practice location
35 S 1200 W
Pleasant Grove, UT 84062-2984
(916) 208-6295