Organization
CUSHING STREET FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICCI SILBERMAN PA-C (PRESIDENT)
(520) 620-0705
Entity
Organization
Contact information
Practice address
58 W CUSHING ST, TUCSON, AZ 85701-2218
(520) 620-0705
(520) 620-0745
Mailing address
58 W CUSHING ST, TUCSON, AZ 85701-2218
(520) 620-0705
(520) 620-0745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1372
AZ
363AM0700X
Medical Physician Assistant
1572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853392
—
AZ
Enumeration date
06/02/2006
Last updated
02/20/2015
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