Individual
DR. SCOTT BARTHOLOMEW MCCUSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST FL 5, SACRAMENTO, CA 95816-7058
(916) 733-3312
(916) 733-3430
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125050755
IL
207Y00000X
Otolaryngology Physician
Primary
A138348
CA
207Y00000X
Otolaryngology Physician
N0961
TX
Other
Enumeration date
07/03/2007
Last updated
05/22/2020
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