Individual
GARY L CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 BISHOP ST, SUITE 510, SAN LUIS OBISPO, CA 93401
(805) 549-7843
(805) 549-8692
Mailing address
4488 CROSS CREEK WAY, SAN LUIS OBISPO, CA 93401-8388
(805) 801-5355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A45253
CA
207RG0100X
Gastroenterology Physician
Primary
A45253
CA
Other
Enumeration date
11/09/2005
Last updated
09/07/2018
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