Organization
OB&G PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
OB&G PROFESSIONAL LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J KUSH M.D. (DIRECTOR)
(602) 234-1803
Entity
Organization
Contact information
Practice address
300 W CLARENDON AVE, SUITE 142, PHOENIX, AZ 85013-3449
(602) 234-1803
(602) 234-3748
Mailing address
PO BOX 36680, PHOENIX, AZ 85067-6680
(602) 234-1803
(602) 234-3748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173807
—
AZ
Enumeration date
05/17/2006
Last updated
03/04/2016
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