Individual
DR. JARED KUSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
63114
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091185
—
AZ
Enumeration date
03/22/2017
Last updated
07/16/2024
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