Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FORREST K BUSCH JR., DO
Active Sole ProprietorMR. FORREST K BUSCH JR., DO is a Dermatology healthcare provider located in DYERSBURG, Tennessee. NPI 1063425791 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DYERSBURG, TN
Registration Details
- NPI Number
- 1063425791
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (19.993503049091 yrs)
- Last Updated
- Sep 10, 2015
- Licenses
-
DO0000000839 (TN)DO0000000839 (TN)DO0000000839 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1950 COOK STDYERSBURG, TN, 38024Browse TN providers · Browse ZIP 38024
- Phone
- 7312864300
- Fax
- 7312868008
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.