Individual
DR. JAMES MICHAEL CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACEP
Contact information
Practice address
10309 E LAKE DR, ENGLEWOOD, CO 80111-5499
(303) 779-6968
(303) 221-1233
Mailing address
10309 E LAKE DR, ENGLEWOOD, CO 80111-5499
(303) 779-6968
(303) 221-1233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27661
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276617
—
CO
05
—
200716290A
—
KS
Enumeration date
04/08/2007
Last updated
06/01/2011
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