Individual
PHILIP CUSHMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 522-2778
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20140
FL
207R00000X
Internal Medicine Physician
5101021993
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
OS20140
FL
2083A0100X
Aerospace Medicine Physician
5101021993
MI
Other
Enumeration date
05/21/2015
Last updated
07/18/2025
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