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NPI Code Detail

MEDICARE: STEPHEN ALAN CUSHNER M.D.

MEDICARE:   STEPHEN ALAN CUSHNER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician19809AZ

General Provider Information

NPI Number : 1922095876
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN ALAN CUSHNER M.D.
Provider Business Mailing Address
First Line : 4711 E FALCON DR
Second Line : SUITE 202
City : MESA
State : AZ
Zip : 85215-2593
Country : US
Telephone Number : 480-357-2048
Fax Number :
Provider Business Practice Location Address
First Line : 4711 E FALCON DR
Second Line : SUITE 202
City : MESA
State : AZ
Zip : 85215-2593
Country : US
Telephone Number : 480-357-2048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/08/2007

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Directions to “ STEPHEN ALAN CUSHNER M.D.” Practice Location

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