Individual
DR. DANIEL MATTHEW CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-2267
Mailing address
PO BOX 413032, SALT LAKE CITY, UT 84141-3032
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9002357-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588985014
—
UT
Enumeration date
06/18/2010
Last updated
11/12/2021
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