Individual
DR. NICHOLAS DUSHKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
338 CHOKE CHERRY LN, PROVIDENCE, UT 84332-9513
(435) 753-4618
(435) 753-4618
Mailing address
338 CHOKE CHERRY LN, PROVIDENCE, UT 84332-9513
(435) 753-4618
(435) 753-4618
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
60550861205
UT
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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