Individual
TERRY STEVE MCCUISTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-1100
Mailing address
1160 A B LASSITER RD, MURRAY, KY 42071-4856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29665
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207499
BLUE CROSS BLUE SHIELD
KY
05
—
64296650
—
KY
01
—
P00233578
RAILROAD MEDICARE
KY
Enumeration date
05/22/2006
Last updated
07/08/2007
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