Provider Demographics
NPI:1134212954
Name:BUSK, NEAL CHRISTIAN (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:CHRISTIAN
Last Name:BUSK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST GEORGE VA CBOC
Mailing Address - Street 2:230 NORTH 1680 EAST, BUILDING N
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:435-634-7608
Mailing Address - Fax:435-674-0092
Practice Address - Street 1:ST GEORGE VA CBOC
Practice Address - Street 2:230 NORTH 1680 EAST, BUILDING N
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-634-7608
Practice Address - Fax:435-674-0092
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6276537-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine