Individual
ROGER DAVID CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2302 E. TERRY STREET, POCATELLO, ID 83201
(208) 235-5910
Mailing address
PO BOX 335, POCATELLO, ID 83204-0335
(208) 235-5910
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
GPA-034
ID
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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