Individual
DR. IGOR KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5060 SOUTHWESTERN MEDICAL AVE., DALLAS, TX 75235
(214) 456-2100
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T0266
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
09/13/2021
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