Individual
BRETT MICHAEL KUSMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA/RA
Contact information
Practice address
16641 N. 40TH ST.,, STE 1, PHOENIX, AZ 85032-3343
(623) 931-7999
(623) 842-5640
Mailing address
2323 W. ROSE GARDEN LANE, PHOENIX, AZ 85027-2530
(623) 931-7999
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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