Individual
SCOTT KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2035
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1148356
TX
Other
Enumeration date
09/15/2006
Last updated
11/20/2020
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