Organization
CUSHING STREET FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE MAXWELL (OFFICE MANAGER)
(602) 549-3609
Entity
Organization
Contact information
Practice address
58 W CUSHING ST, TUCSON, AZ 85701-2218
(602) 549-3609
Mailing address
58 W CUSHING ST, TUCSON, AZ 85701-2218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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