Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN JOHN BUSH, PA-C
ActivePhysician Assistant · MISSOULA, MT
Registration Details
- NPI Number
- 1346670957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2013 (12.428804842831 yrs)
- Last Updated
- Apr 20, 2025
- Licenses
-
PA164984 (OR)MED-PAC-LIC-144296 (MT)
Practice Information
- Address
-
500 W BROADWAY ST STE 320MISSOULA, MT, 598024003Browse MT providers · Browse ZIP 59802
- Phone
- 4063295615
- Fax
- 4063295606
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J. ROSSI | PA-C | 1588664791 |
| JOSH BERNARD MOSER | PAC | 1548255813 |
| MRS. JENIFER DARLENE CALDWELL | PA C | 1316933963 |
| MR. DOUGLAS M. HENRY | PA-C | 1275512071 |
| MR. LOUIS L WESTENFELDER | PA-C | 1518917418 |
| MARK E PIRAK | PA-C | 1144277997 |
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.