Riley B Busch, PA-C Valid NPI
Individual provider · Physician Assistant · O Fallon, MO
- NPI
- 1013775238
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 2024006272 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2024-03-12
- Last updated
- 2025-08-05
Practice location
1101 Highway K
O Fallon, MO 63366-8431
(636) 379-6363