ROGER CUSHMAN, P.A.
Physician Assistant - Medical
Active
Individual
NPI: 1578742615
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | GPA-034 (ID) |
Frequently Asked Questions
NPI 1578742615 is the National Provider Identifier for ROGER CUSHMAN, P.A., a Physician Assistant - Medical provider located in Pocatello, ID. This NPI was enumerated on October 25, 2007.
ROGER CUSHMAN, P.A. practices at 2302 E. TERRY STREET, Pocatello, ID 83201.
Quick Facts
- NPI
- 1578742615
- Type
- Individual
- Enumerated
- Oct 25, 2007
- Last Updated
- Oct 25, 2007
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