SearchIdaho363AM0700X

Fernando Busby, PA

NPI 1649152992 · on the registry since 2025 · sole proprietor

Practice

Address
Auspex Diamond Llc St # 2079
9169 W State
Garden City, ID 83714
Phone
(304) 459-9808

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho