IndividualActive
Robert Bush, M.D.
NPI 1003070111 · Addiction Medicine (Family Medicine) Physician · Provo, UT
Provider details
- NPI number
- 1003070111
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10761618-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Phone: (801) 852-1443
Approximate (ZIP-level) locationGet directions
Mailing address
750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.