Provider Demographics
NPI:1821078858
Name:TERBUSH, JAMES WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WAYNE
Last Name:TERBUSH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1675 GARDEN OF THE GODS RD
Mailing Address - Street 2:SUITE 2044
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-9444
Mailing Address - Country:US
Mailing Address - Phone:719-578-3258
Mailing Address - Fax:719-575-8664
Practice Address - Street 1:1675 GARDEN OF THE GODS RD
Practice Address - Street 2:SUITE 2044
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-9444
Practice Address - Country:US
Practice Address - Phone:719-578-3258
Practice Address - Fax:719-575-8664
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2015-11-03
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Provider Licenses
StateLicense IDTaxonomies
CO24102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine