Organization
CUMBERLAND CENTER FOR OBESITY SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D HUSTED MD (MANAGING MEMBER)
(270) 779-3649
Entity
Organization
Contact information
Practice address
154 BOGLE OFFICE PARK DR, STE B, SOMERSET, KY 42503-2810
(270) 779-3649
Mailing address
154 BOGLE OFFICE PARK DR, STE B, SOMERSET, KY 42503-2810
(270) 779-3649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42109
KY
Other
Enumeration date
08/20/2008
Last updated
09/29/2009
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