Organization
AUSTIN R CUSHMAN M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN R CUSHMAN M.D. (OWNER)
(208) 367-2670
Entity
Organization
Contact information
Practice address
901 N CURTIS RD STE 103, BOISE, ID 83706-1339
(208) 367-2670
(208) 367-2673
Mailing address
901 N CURTIS RD STE 103, BOISE, ID 83706-1339
(208) 367-2670
(208) 367-2673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4521
ID
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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